Organization Active NPI

Action Wellness LLC

  • Chiropractor
  • Elmhurst, IL
National Provider Identifier
1790043768
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012028 Issued in IL
Legal business name
ACTION WELLNESS LLC
Practice address
110 W Park Ave Ste C
Elmhurst, IL 60126-6201
Phone
(832) 978-0835
NPI assigned
Apr 27, 2012
Last updated
Apr 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Authorized official

Name
Dr. Gabriel L Cole, D.C.NPI 1649546045
Title
Owner-Manager
Phone
(832) 978-0835

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
Chiropractor 111N00000X 038.012028 IL Primary

Addresses

Primary practice location

110 W Park Ave Ste C
Elmhurst, IL 60126-6201

Mailing address

110 W Park Ave Ste C
Elmhurst, IL 60126-6201
Phone (832) 978-0835

National Provider Directory

National Provider Directory

Locations

110 W Park Ave
Ste C
Elmhurst, IL 60126
Phone (630) 359-5483

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1790043768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W PARK AVE STE C",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601266201",
            "telephone_number": "832-978-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W PARK AVE STE C",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601266201",
            "telephone_number": "832-978-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER-MANAGER",
        "authorized_official_telephone_number": "832-978-0835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.