Trio Chiropractic and Wellness Center SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TRIO CHIROPRACTIC AND WELLNESS CENTER SC

Doing business as

Trio Chiropractic and Wellness SC

Practice address

17516 E Carriageway Dr Ste B
Hazel Crest, IL 60429-2079

Phone

(708) 914-4445

Fax

(708) 914-4393

NPI assigned

Jan 4, 2021

Organization subpart

No

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

Authorized official

Name

Petrina Jackson, DC

Title

Clinical Director

Phone

(708) 914-4445

Specialties & licenses 1

Addresses

Other names 1

• Trio Chiropractic and Wellness SC Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1730777905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17516 E CARRIAGEWAY DR STE B",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292079",
            "telephone_number": "708-914-4445",
            "fax_number": "708-260-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17516 E CARRIAGEWAY DR STE B",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292079",
            "telephone_number": "708-914-4445",
            "fax_number": "708-914-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIO CHIROPRACTIC AND WELLNESS CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "PETRINA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "708-914-4445",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@triochiropractic.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "address_1": "17516 E Carriageway Dr Ste B",
            "city": "Hazel Crest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604292079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Trio Chiropractic and Wellness SC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daisy Torres, PTA
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• Hannah Townsend, P.T.A.
• Tree of Health and Wellness
• Lindy Triebes, MD
• Trust Riders Medicar
• Monica J Uceda Arriola, M.D.
• Victor Nnadozie Udechukwu, M.D
• Clinton Underhille
• United Mental Health Organization of Illinois

• Chiropractor in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.