NPIMap

Organization Active NPI

Chiro One Wellness Center Metro of Streeterville LLC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1821375619
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIRO ONE WELLNESS CENTER METRO OF STREETERVILLE LLC
Practice address
455 N Cityfront Plaza Dr
Ste 2040
Chicago, IL 60611-5503
Phone
(312) 262-6201
Fax
(312) 262-6202
NPI assigned
Nov 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Sam WangNPI 1073520136
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

455 N Cityfront Plaza Dr
Ste 2040
Chicago, IL 60611-5503

Mailing address

PO Box 5977
Dept 20-3010
Carol Stream, IL 60197-5977
Phone (630) 320-6400

National Provider Directory

National Provider Directory

Locations

455 N Cityfront Plaza Dr
Ste 2040
Chicago, IL 60611
Phone (312) 262-6201

7818 Solutions Ctr
Chicago, IL 60677

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1821375619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5977",
            "address_2": "DEPT 20-3010",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601975977",
            "telephone_number": "630-320-6400",
            "fax_number": "630-320-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N CITYFRONT PLAZA DR",
            "address_2": "STE 2040",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115503",
            "telephone_number": "312-262-6201",
            "fax_number": "312-262-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO ONE WELLNESS CENTER METRO OF STREETERVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2012-11-08",
        "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"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Nov 8, 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.