Chiro One Wellness Center of Lansing SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIRO ONE WELLNESS CENTER OF LANSING SC

Practice address

2390 172ND St
Lansing, IL 60438-6002

Phone

(708) 474-4890

Fax

(708) 474-4899

NPI assigned

Jul 26, 2006

Last updated

Mar 1, 2018By 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

Dr. Sam Wang, D.C.NPI 1073520136

Title

Coo

Phone

(630) 468-1824

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 6

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.

• Rita Oisha

  • Chiropractor
  • Lansing, IL
  • NPI 1477171411
  Medicare reassignment NPD
• Felicia Olimene, DC

  • Chiropractor
  • Oak Brook, IL
  • NPI 1255896163
  Medicare reassignment NPD
• Sam Wang, DC

  • Chiropractor
  • Libertyville, IL
  • NPI 1073520136
  Authorized official Same address or phone
• Stuart Bernsen, D.C.

  • Chiropractor
  • Evanston, IL
  • NPI 1386691566
  NPD (past)
• Anthony Abdul Deneal

  • Chiropractor
  • Oak Brook, IL
  • NPI 1457384372
  NPD (past)
• David Jason Cargill, PT, DPT

  • Physical Therapist
  • Metairie, LA
  • NPI 1477849768
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1669495891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD",
            "address_2": "SUITE 301N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231234",
            "telephone_number": "630-468-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 172ND ST",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604386002",
            "telephone_number": "708-474-4890",
            "fax_number": "708-474-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO ONE WELLNESS CENTER OF LANSING SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "630-468-1824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01635113",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tajmar Carter, LCSW
• Alexis Julia Castillo, COTA/L
• Cedarland Homecare LLC
• Josephine Roh-Yih Chang, D.D.S.
• Fritzgerald Charles
• Christian Community Health Center
• Elizabeth M Cichocki
• Circle of Trust Home Health Inc
• Richard D Clark, RN ARNP CRNA
• Matthew Clary, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.