NPIMap

Organization Active NPI

Ko Wellness and Rehabilitation Center Inc

  • Rehabilitation Chiropractor
  • Wheeling, IL
National Provider Identifier
1720223035
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
038010090 Issued in IL
Legal business name
KO WELLNESS AND REHABILITATION CENTER INC
Practice address
715 Astor LN
#301
Wheeling, IL 60090-6257
Phone
(630) 254-0581
NPI assigned
Dec 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Dr. Willes Ko, D.C.NPI 1376798934
Title
Owner/President
Phone
(630) 254-0581

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
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 038010090 IL Primary

Addresses

Primary practice location

715 Astor LN
#301
Wheeling, IL 60090-6257

Mailing address

715 Astor LN
#301
Wheeling, IL 60090-6257
Phone (630) 254-0581

National Provider Directory

National Provider Directory

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": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1720223035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 ASTOR LN",
            "address_2": "#301",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600906257",
            "telephone_number": "630-254-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 ASTOR LN",
            "address_2": "#301",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600906257",
            "telephone_number": "630-254-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KO WELLNESS AND REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "WILLES",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "630-254-0581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038010090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.