Active NPI
Chiro One Wellness Center of Hales Corners, LLC
- Chiropractor
- Hales Corners, WI
National Provider Identifier
1881127900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4407-12
- Legal business name
- CHIRO ONE WELLNESS CENTER OF HALES CORNERS, LLC
- Practice address
- 5305 S 108TH St
Hales Corners, WI 53130-1332 - Phone
- (414) 491-0096
- NPI assigned
- Apr 5, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chris Roeh
- Title
- Evp, Cfo
- Phone
- (630) 468-1824
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4407-12 | WI | Primary |
Addresses
Primary practice location
5305 S 108TH St
Hales Corners, WI 53130-1332
Mailing address
814 Commerce Dr Ste 300
Oak Brook, IL 60523-8823
Phone (630) 468-1824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5305 S 108th St
Hales Corners, WI 53130
Phone (414) 235-9708
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Mount Pleasant, WI
- NPI 1285511873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788307200000",
"number": "1881127900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 COMMERCE DR STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605238823",
"telephone_number": "630-468-1824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5305 S 108TH ST",
"city": "HALES CORNERS",
"state": "WI",
"postal_code": "531301332",
"telephone_number": "414-491-0096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIRO ONE WELLNESS CENTER OF HALES CORNERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-05",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A",
"authorized_official_last_name": "ROEH",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "EVP, CFO",
"authorized_official_telephone_number": "630-468-1824"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "4407-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hales Corners, WI
- Megan Janelle Byers, D.D.S.
- Sarah Byleen, PHARMD
- Robert I Carpenter, D.C.
- Scott J. Catarozoli, D.D.S.
- Lucina Cervantes
- Chiropractic Company - Greenfield West LLC (Chiropractic Company - Hales Corners)
- Kay Carolyn Chmielewski, DPT
- Robert Chojnacki
- Colleen Alicia Christiansen, MS, LPC
- Keith Douglas Clemence, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.