Wellness Revolution Chiropractic & Acupuncture Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WELLNESS REVOLUTION CHIROPRACTIC & ACUPUNCTURE CENTER

Practice address

1117 Emerson St
Evanston, IL 60201

Phone

(847) 869-1773

Fax

(847) 869-2733

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Breitbach, DCNPI 1255400453

Title

President

Phone

(847) 869-1773

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 13

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

• Anthony L Breitbach, D.C.

  • Chiropractor
  • Evanston, IL
  • NPI 1255400453
  Medicare reassignment Care Compare group NPD Authorized official
• Sean Michael Alexander, DC

  • Chiropractor
  • Chicago, IL
  • NPI 1619778354
  Medicare reassignment Care Compare group NPD
• Daniel William Cutter, DC

  • Chiropractor
  • Evanston, IL
  • NPI 1245041953
  Medicare reassignment Care Compare group NPD
• Kailee Pasbrig, DC

  • Chiropractor
  • Bolingbrook, IL
  • NPI 1801506050
  Medicare reassignment Care Compare group NPD
• Alexandra Powers

  • Chiropractor
  • Evanston, IL
  • NPI 1790339976
  Medicare reassignment Care Compare group NPD
• Nicholas Gene Scanio, D.C.

  • Chiropractor
  • Evanston, IL
  • NPI 1639579667
  Medicare reassignment Care Compare group NPD
• Melanie Cook, DC

  • Chiropractor
  • Schertz, TX
  • NPI 1588485957

  IL

  Medicare reassignment Care Compare group NPD
• Michael Anthony Pontarelli, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1982770681
  Medicare reassignment Care Compare group
• Rachel Itano, L.M.T.

  • Massage Therapist
  • Evanston, IL
  • NPI 1720351257
  NPD (past)
• Katie Diane Keelin, DC

  • Chiropractor
  • Chicago, IL
  • NPI 1760250583
  NPD (past)
• Michael Jeremy De Mesa Bonsol, D.C.

  • Chiropractor
  • West Hollywood, CA
  • NPI 1689813024
  NPD (past)
• Thomas A Livermore, D.C.

  • Chiropractor
  • East Lansing, MI
  • NPI 1689901779
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1710035183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 EMERSON ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013131",
            "telephone_number": "847-869-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 EMERSON ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60201",
            "telephone_number": "847-869-1773",
            "fax_number": "847-869-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS REVOLUTION CHIROPRACTIC & ACUPUNCTURE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "BREITBACH",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-869-1773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1063920316",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI- PERSONSAL",
            "identifier": "1255400453",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott M Weissman, M.S., C.G.C.
• Mona Sue Weissmark, PHD
• Jennifer G Weldon, APN-CNP
• Well Journey Therapy PLLC
• Wellness Counseling Associates, LLC
• Destinee Nicole Wells
• Lauren Marci Wells
• Cara Eliana Fisher Wellvang, LPC
• Welsh Counseling & Coaching Inc.
• Wendy B. Dolin, LCSW, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.