Individual provider Active NPI

Lucas Gellis, DC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1760908313
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038013134 Issued in IL
Practice address
3464 N Lincoln Ave
Chicago, IL 60657-1173
Phone
(773) 348-6908
NPI assigned
Aug 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038013134 IL Primary

Addresses

Primary practice location

3464 N Lincoln Ave
Chicago, IL 60657-1173

Mailing address

1117 Emerson St
Evanston, IL 60201-3131
Phone (773) 348-6908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170914003255 IL Practitioner - Chiropractic 7315211372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Wellness Revolution Lakeview LLCGroup PAC ID 4486990967, 4 clinicians

Practice addresses (Care Compare)

3464 N Lincoln Ave
G1
Chicago, IL 60657-1173
Phone (773) 348-6908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038013134ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Revolution Lakeview LLC Chiropractor CurrentSince Nov 9, 2018 Accepting new patients

Locations

3464 N Lincoln Ave
#G1
Chicago, IL 60657
Phone (773) 348-6908

3259 N Ashland Ave
Chicago, IL 60657
Phone (773) 348-6908

1117 Emerson St
Evanston, IL 60201
Phone (847) 869-1773

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1760908313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 EMERSON ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013131",
            "telephone_number": "773-348-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3464 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571173",
            "telephone_number": "773-348-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLIS",
        "first_name": "LUCAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-16",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013134",
            "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 Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.