Active NPI
At Ease Wellness Center LLC
- Chiropractor
- Chicago, IL
National Provider Identifier
1710063102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038009989
- Legal business name
- AT EASE WELLNESS CENTER LLC
- Practice address
- 4403 N. Broadway St.
Chicago, IL 60640 - Phone
- (773) 561-7966
- Fax
- (773) 561-7923
- NPI assigned
- Oct 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher Evans, D.C.
- Title
- Chief Executive Officer/Chiropracti
- Phone
- (773) 561-7966
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Chiropractor | 111N00000X | 038009989 | IL | Primary |
Addresses
Primary practice location
4403 N. Broadway St.
Chicago, IL 60640
Mailing address
4403 N Broadway St
Chicago, IL 60640
Phone (773) 561-7966
National Provider Directory
National Provider DirectoryLocations
1437 W Montrose Ave
Chicago, IL 60613
Phone (773) 561-7966
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Doula
- Chicago, IL
- NPI 1649642307
-
- Chiropractor
- Chicago, IL
- NPI 1467538850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288224000000",
"number": "1710063102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4403 N BROADWAY ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60640",
"telephone_number": "773-561-7966",
"fax_number": "773-561-7923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4403 N. BROADWAY ST.",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60640",
"telephone_number": "773-561-7966",
"fax_number": "773-561-7923"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AT EASE WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2010-10-28",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER/CHIROPRACTI",
"authorized_official_telephone_number": "773-561-7966",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038009989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.