Organization Active NPI

The Yellin Holistic Center for Being Well Inc.

  • Chiropractor
  • Lake Forest, IL
National Provider Identifier
1669574398
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
THE YELLIN HOLISTIC CENTER FOR BEING WELL INC.
Practice address
1025 W Everett Rd
Lake Forest, IL 60045-2697
Phone
(847) 482-1488
Fax
(847) 482-1489
NPI assigned
Sep 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Dr. Linda Joyce Yellin, D.C.
Title
President/Owner
Phone
(847) 482-1488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X IL Primary

Addresses

Primary practice location

1025 W Everett Rd
Lake Forest, IL 60045-2697

Mailing address

1025 W Everett Rd
Lake Forest, IL 60045-2697
Phone (847) 482-1488

Other identifiers 1

IdentifierTypeStateIssuer
04915382OtherILBLUE CROSS/BLUE SHIELD

Other names 1

  • Yellin Chiropractic Family Health Center Ltd. Former legal business name

National Provider Directory

National Provider Directory

Locations

2525 Waukegan Rd
Ste 255
Bannockburn, IL 60015
Phone (847) 405-7611

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1669574398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W EVERETT RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452697",
            "telephone_number": "847-482-1488",
            "fax_number": "847-482-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W EVERETT RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452697",
            "telephone_number": "847-482-1488",
            "fax_number": "847-482-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE YELLIN HOLISTIC CENTER FOR BEING WELL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "YELLIN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "847-482-1488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "04915382",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yellin Chiropractic Family Health Center Ltd.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.