Organization Active NPI

Patrick Health and Wellness Inc.

  • Chiropractor
  • Elgin, IL
National Provider Identifier
1881105302
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PATRICK HEALTH AND WELLNESS INC.
Practice address
750 Fletcher Dr Ste 304
Elgin, IL 60123-4756
Phone
(847) 888-3131
Fax
(847) 888-3359
NPI assigned
Oct 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Authorized official

Name
Dr. Dean Thomas Patrick, DC
Title
Chiropractic Physician
Phone
(847) 888-3131

Specialties & licenses 1

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

Addresses

Primary practice location

750 Fletcher Dr Ste 304
Elgin, IL 60123-4756

Mailing address

2760 S Highland Ave Apt 430
Lombard, IL 60148-5433
Phone (740) 360-0096

Other identifiers 1

IdentifierTypeStateIssuer
1154831527OtherILRENDERING NPI

National Provider Directory

National Provider Directory

Locations

750 Fletcher Dr
Ste 304
Elgin, IL 60123
Phone (847) 742-0375

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1881105302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 S HIGHLAND AVE APT 430",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485433",
            "telephone_number": "740-360-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 FLETCHER DR STE 304",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234756",
            "telephone_number": "847-888-3131",
            "fax_number": "847-888-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK HEALTH AND WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "847-888-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENDERING NPI",
            "identifier": "1154831527",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.