NPIMap

Organization Active NPI

Universal Pain and Wellness PC

  • Chiropractor
  • Addison, IL
National Provider Identifier
1629397310
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011060 Issued in IL
Legal business name
UNIVERSAL PAIN AND WELLNESS PC
Practice address
601 W Army Trail Blvd
Suite a
Addison, IL 60101-3299
Phone
(630) 543-1929
Fax
(630) 543-1931
NPI assigned
May 20, 2010
Last updated
Jun 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Authorized official

Name
Dr. Scott B Eckelbarger, D.C.
Title
President
Phone
(630) 543-1929

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011060 IL Primary
Physical Therapist 225100000X 070016639 IL

Addresses

Primary practice location

601 W Army Trail Blvd
Suite a
Addison, IL 60101-3299

Mailing address

601 W Army Trail Blvd
Suite a
Addison, IL 60101-3299
Phone (630) 543-1929

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1629397310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W ARMY TRAIL BLVD",
            "address_2": "SUITE A",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601013299",
            "telephone_number": "630-543-1929",
            "fax_number": "630-543-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W ARMY TRAIL BLVD",
            "address_2": "SUITE A",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601013299",
            "telephone_number": "630-543-1929",
            "fax_number": "630-543-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL PAIN AND WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "ECKELBARGER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-543-1929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011060",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.