Spine & Wellness Clinic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SPINE & WELLNESS CLINIC, INC.

Practice address

775 N Bank Lane Suite 101
Lake Forest, IL 60045

Phone

(224) 436-8080

NPI assigned

Jan 14, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Wendy L Flynn, DC

Title

Pres

Phone

(224) 436-8080

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1851931109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 N BANK LANE SUITE 101",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "60045",
            "telephone_number": "224-436-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 N BANK LANE SUITE 101",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "60045",
            "telephone_number": "224-436-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & WELLNESS CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "224-436-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Douglas Southgate, M.D.
• Grace Spath, M.S. CCC-SLP
• John Spehlmann, MD
• Juliet Jean Spelman, M.D.
• Doris E Spicer, MS, APN-C
• Karen Spinelli-Falberg, LCSW
• Katie R Springer, PA-C
• Krishnaswami Sriram, M. D.,
• Emily Elizabeth Srnka, PT, DPT
• Kelly Stanczak, DPT

• Chiropractor in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.