Family Health and Wellness Clinic S C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

035009957 Issued in IL

Legal business name

FAMILY HEALTH AND WELLNESS CLINIC S C

Practice address

1323 Butterfield Rd Ste 108
Downers Grove, IL 60515-5620

Phone

(630) 407-0100

Fax

(630) 407-0300

NPI assigned

Dec 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Carlo Gallo, DCNPI 1518041383

Title

President

Phone

(630) 407-0100

Specialties & licenses 1

Addresses

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.

• Carlo Gallo, DC

  • Chiropractor
  • Downers Grove, IL
  • NPI 1518041383
  Authorized official Same address or phone

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1629251863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 BUTTERFIELD RD STE 108",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155620",
            "telephone_number": "630-407-0100",
            "fax_number": "630-407-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 BUTTERFIELD RD STE 108",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155620",
            "telephone_number": "630-407-0100",
            "fax_number": "630-407-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH AND WELLNESS CLINIC S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "GALLO",
        "authorized_official_first_name": "CARLO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-407-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "035009957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairoaks Medical LLC (American Family Medical Center)
• Fairview Ogden Medical Group LTD. (Fairview Ogden Medical Group)
• Daniel Anthony Falco, DO
• Olivia Lauren Falcon
• Fale la ABA PC
• Family Health and Wellness Solutions LLC
• Jingyuan Fan, DDS
• Farhad Vossoughi MD SC
• Farhana Supplies Inc
• Carlos Luis Farias, M.D.

• Chiropractor in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.