Chiro One Wellness Center of Bloomingdale LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038010291 Issued in IL

Legal business name

CHIRO ONE WELLNESS CENTER OF BLOOMINGDALE LLC

Practice address

364 W Army Trail Rd
Suite 330B
Bloomingdale, IL 60108-5603

Phone

(630) 351-1071

Fax

(630) 351-1360

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sam Wang, DC

Title

Coo

Phone

(630) 468-1824

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

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

• Austin David Hibner, DC

  • Chiropractor
  • Bloomingdale, IL
  • NPI 1710445382
  Medicare reassignment NPD
• Gary Roeben, DC

  • Chiropractor
  • Oak Brook, IL
  • NPI 1447292750
  NPD (past)
• Joannie Connor-Charles, DC

  • Chiropractor
  • Middletown, NJ
  • NPI 1629373626
  NPD (past)
• Kristen Van de Carr, DC

  • Chiropractor
  • Florence, KY
  • NPI 1447296512
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1821026899",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 W ARMY TRAIL RD",
            "address_2": "SUITE 330B",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601085603",
            "telephone_number": "630-351-1071",
            "fax_number": "630-351-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO ONE WELLNESS CENTER OF BLOOMINGDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2017-10-24",
        "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.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "02232823",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Chen, DMD
• Chic Dental PC
• Sandra M Chic, DDS
• Chicagoland Health Inc
• Chicagoland Hearing
• Chirofit and Wellness S.C.
• Trishna Chohan, PHARM. D
• Soohee Choi, NURSE PRACTITIONER
• Annie Lan Chon, PHARM D
• Hong Chon, MS, DDS

• Chiropractor in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.

Verify at the official NPI Registry.