Active NPI
Chiro One Wellness Center of Des Plaines LLC
- Chiropractor
- Des Plaines, IL
National Provider Identifier
1740451657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- CHIRO ONE WELLNESS CENTER OF DES PLAINES LLC
- Practice address
- 1460 Market St Ste 204
Des Plaines, IL 60016-4643 - Phone
- (224) 567-6160
- Fax
- (630) 468-1478
- NPI assigned
- Mar 19, 2008
- 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. Sam Wang
- Title
- Coo
- Phone
- (630) 468-1824
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1460 Market St Ste 204
Des Plaines, IL 60016-4643
Mailing address
2625 Butterfield Rd
Ste 301N
Oak Brook, IL 60523-1234
Phone (630) 468-1824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1460 Market St
Ste 204
Des Plaines, IL 60016
Phone (224) 567-6160
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Des Plaines, IL
- NPI 1881083160
-
- Chiropractor
- Libertyville, IL
- NPI 1073520136
-
- Chiropractor
- Des Plaines, IL
- NPI 1740829449
-
- Chiropractor
- Chicago, IL
- NPI 1134159551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614556800000",
"number": "1740451657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 BUTTERFIELD RD",
"address_2": "STE 301N",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231234",
"telephone_number": "630-468-1824",
"fax_number": "630-701-1007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 MARKET ST STE 204",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600164643",
"telephone_number": "224-567-6160",
"fax_number": "630-468-1478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIRO ONE WELLNESS CENTER OF DES PLAINES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-19",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"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",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.