Chiro One Wellness Center of Springfield, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIRO ONE WELLNESS CENTER OF SPRINGFIELD, LLC

Practice address

3409 Freedom Dr Ste 150a
Springfield, IL 62704-6517

Phone

(630) 468-1824

NPI assigned

Nov 18, 2019

Organization subpart

No

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

Authorized official

Name

Sam Wang

Title

Coo

Phone

(630) 468-1824

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 5

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

• Blake W Dugger, D.C.

  • Sports Physician Chiropractor
  • Granite City, IL
  • NPI 1417172842
  Medicare reassignment Care Compare group NPD
• Taylor Elizabeth Thompson, D.C.

  • Chiropractor
  • Scottsville, KY
  • NPI 1205508082

  IL

  Medicare reassignment Care Compare group
• Janay Collier, DC

  • Chiropractor
  • Danville, IL
  • NPI 1508488867
  Medicare reassignment NPD
• Stuart Bernsen, D.C.

  • Chiropractor
  • Evanston, IL
  • NPI 1386691566
  NPD (past)
• Anthony Abdul Deneal

  • Chiropractor
  • Oak Brook, IL
  • NPI 1457384372
  NPD (past)

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1730725425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD STE 301N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231266",
            "telephone_number": "630-468-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 FREEDOM DR STE 150A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046517",
            "telephone_number": "630-468-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO ONE WELLNESS CENTER OF SPRINGFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "630-468-1824"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Childrite Development, LLC
• Childrite Medical Supply, Inc
• Douglas McDonald Childs, CRNA
• Kayla Chin, MD
• Richard Lee Chiola, LCPC
• Jaemin Chon, RN
• Ashish Chopra, M.D.
• Arthur Chou, DO
• Christina Johnston, Ma, CCC-SLP
• Catherine Marie Christofilakos, LCPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.