Organization Active NPI

Precision Wellness Corporation

  • Chiropractor
  • Arlington Heights, IL
National Provider Identifier
1700376902
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PRECISION WELLNESS CORPORATION
Practice address
1810 E Northwest Hwy
Arlington Heights, IL 60004-6944
Phone
(810) 531-3972
Fax
(847) 255-7945
NPI assigned
May 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Authorized official

Name
Jordan OswaldNPI 1992148019
Title
Owner
Phone
(847) 590-1317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1810 E Northwest Hwy
Arlington Heights, IL 60004-6944

Mailing address

1810 E Northwest Hwy
Arlington Heights, IL 60004-6944
Phone (810) 531-3972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190301001099 IL Part B Supplier - Clinic/Group Practice 0840539243 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington Heights, IL

National Provider Directory

National Provider Directory

Locations

1810 E Northwest Hwy
Arlington Heights, IL 60004
Phone (847) 590-1133

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1700376902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 E NORTHWEST HWY",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600046944",
            "telephone_number": "810-531-3972",
            "fax_number": "847-255-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 E NORTHWEST HWY",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600046944",
            "telephone_number": "810-531-3972",
            "fax_number": "847-255-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION WELLNESS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-14",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "OSWALD",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-590-1317"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.