Wellness Way Burr Ridge LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WELLNESS WAY BURR RIDGE LLC

Practice address

16W343 83Rd St Ste D
Burr Ridge, IL 60527-7950

Phone

(630) 908-7634

Fax

(630) 568-3194

NPI assigned

Jul 3, 2019

Organization subpart

No

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

Authorized official

Name

Patrick Flynn

Title

Owner

Phone

(920) 660-7877

Specialties & licenses 1

Addresses

Practitioners 2

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

• Ling Gao

  • Molecular Genetic Pathology (Pathology) Physician
  • Burr Ridge, IL
  • NPI 1457797300
  NPD (past)
• Erin E Saxer, LCPC,LCSW

  • Clinical Social Worker
  • Billings, MT
  • NPI 1649697129
  NPD (past)

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1801458476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16W343 83RD ST STE D",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16W343 83RD ST STE D",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277950",
            "telephone_number": "630-908-7634",
            "fax_number": "630-568-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS WAY BURR RIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-660-7877"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R Parker Ward, MD
• Brooklyn Washington, DC
• Irving Waxman, MD
• Meredith Sanders Waymire, OTR/L
• Heidi Weishuk, O.T.
• George William Weyer, M.D.
• Chad T Whelan, MD
• Rosemary White
• Bria Williams-Roby, LPC
• Lauren Williams, PA

• Chiropractor in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.