DK Chiropractic Wellness Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.010755 Issued in IL

Legal business name

DK CHIROPRACTIC WELLNESS CENTER LLC

Practice address

1935 Springbrook Square Dr Ste 107
Naperville, IL 60564-5948

Phone

(630) 357-3818

NPI assigned

Feb 12, 2009

Last updated

Apr 12, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dongwann KimNPI 1922266196

Title

Owner

Phone

(630) 357-3818

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dongwann Kim, D.C.

  • Chiropractor
  • Naperville, IL
  • NPI 1922266196
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1619116704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 SPRINGBROOK SQUARE DR",
            "address_2": "107",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645947",
            "telephone_number": "630-357-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 SPRINGBROOK SQUARE DR STE 107",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645948",
            "telephone_number": "630-357-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DK CHIROPRACTIC WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DONGWANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-357-3818"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.010755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamey Divietro, M.A., L.C.P.C.
• Divine Covenant Staffing Services LLC
• Rajeev S Dixit, MD
• Elton Wade Dixon, MD
• Mark Richard Dixon, PH.D. BCBA-D
• DLD Clinical Associates, LLC
• Caroline Dluski Guerra, DNP
• DMG Pain Management Surgery Center, LLC
• Brian DO
• Helen DO, PSYD

• Chiropractor in Naperville, IL
• Providers in Naperville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.