NPIMap

Organization Active NPI

Chiropractic Works of Illinois, LTD.

Doing business as Prevention & Wellness Center, Inc.

  • Internist Chiropractor
  • Vernon Hills, IL
National Provider Identifier
1699953745
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
038010144 Issued in IL
Legal business name
CHIROPRACTIC WORKS OF ILLINOIS, LTD.
Doing business as
Prevention & Wellness Center, Inc.
Practice address
300 Center Dr
Suite 109
Vernon Hills, IL 60061-1525
Phone
(847) 984-6460
Fax
(847) 984-6462
NPI assigned
Jan 31, 2008
Last updated
Dec 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Authorized official

Name
Dr. Kimberly Jo Henderson, D.C.
Title
Owner
Phone
(847) 984-6460

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X 038010144 IL Primary
Rehabilitation Chiropractor 111NR0400X NU

Addresses

Primary practice location

300 Center Dr
Suite 109
Vernon Hills, IL 60061-1525

Mailing address

300 Center Dr
Suite 109
Vernon Hills, IL 60061-1525
Phone (847) 984-6460

Other names 1

  • Prevention & Wellness Center, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

300 Center Dr
Ste 109
Vernon Hills, IL 60061
Phone (847) 984-6460

565 Lakeview Pkwy
Ste 100
Vernon Hills, IL 60061
Phone (847) 984-6460

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1699953745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CENTER DR",
            "address_2": "SUITE 109",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611525",
            "telephone_number": "847-984-6460",
            "fax_number": "847-984-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTER DR",
            "address_2": "SUITE 109",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611525",
            "telephone_number": "847-984-6460",
            "fax_number": "847-984-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC WORKS OF ILLINOIS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-984-6460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "IL",
            "license": "038010144",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prevention & Wellness Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vernon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.