Organization Active NPI

Wellness Bound Chiropractic and Acupuncture Center Inc.

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1871707943
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009908 Issued in IL
Legal business name
WELLNESS BOUND CHIROPRACTIC AND ACUPUNCTURE CENTER INC.
Practice address
111 N Wabash Ave Ste 712
Chicago, IL 60602-1913
Phone
(312) 658-3300
Fax
(312) 658-3908
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Dr. Young Chang, D.C.
Title
President
Phone
(312) 658-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038009908 IL Primary

Addresses

Primary practice location

111 N Wabash Ave Ste 712
Chicago, IL 60602-1913

Mailing address

111 N Wabash Ave Ste 712
Chicago, IL 60602-1913
Phone (312) 658-3300

National Provider Directory

National Provider Directory

Locations

1359 W Dundee Rd
Buffalo Grove, IL 60089
Phone (847) 759-1541

8 S Michigan Ave
Ste 612
Chicago, IL 60603
Phone (773) 782-6852

111 N Wabash Ave
Ste 712
Chicago, IL 60602
Phone (312) 658-3300

241 Golf Mill Ctr
Ste 309
Niles, IL 60714
Phone (847) 297-0137

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1871707943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 712",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021913",
            "telephone_number": "312-658-3300",
            "fax_number": "312-658-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 712",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021913",
            "telephone_number": "312-658-3300",
            "fax_number": "312-658-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS BOUND CHIROPRACTIC AND ACUPUNCTURE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-658-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009908",
            "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 Dec 21, 2010; 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.