Individual provider Active NPI

Hilary Wellman, D.C.

  • Chiropractor
  • Bolingbrook, IL
National Provider Identifier
1871982702
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012740 Issued in IL
Practice address
440 W Boughton Rd
Suite 102
Bolingbrook, IL 60440-1892
Phone
(630) 759-8989
Fax
(630) 759-8973
NPI assigned
Jan 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012740 IL Primary

Addresses

Primary practice location

440 W Boughton Rd
Suite 102
Bolingbrook, IL 60440-1892

Mailing address

440 W Boughton Rd
Suite 102
Bolingbrook, IL 60440-1892
Phone (630) 759-8989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1871982702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W BOUGHTON RD",
            "address_2": "SUITE 102",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401892",
            "telephone_number": "630-759-8989",
            "fax_number": "630-759-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W BOUGHTON RD",
            "address_2": "SUITE 102",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401892",
            "telephone_number": "630-759-8989",
            "fax_number": "630-759-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLMAN",
        "first_name": "HILARY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.