NPIMap

Organization Active NPI

Wellness & Nutrition Center, Inc.

  • Rehabilitation Chiropractor
  • Carpentersville, IL
National Provider Identifier
1891094801
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
038-007909 Issued in IL
Legal business name
WELLNESS & NUTRITION CENTER, INC.
Practice address
324 W Main St
Carpentersville, IL 60110-2844
Phone
(847) 426-2121
Fax
(847) 892-0449
NPI assigned
Mar 17, 2011
Last updated
Mar 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Authorized official

Name
Dr. Jill Shannon Noble, D.C.NPI 1437341567
Title
President/Owner
Phone
(847) 426-2121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 038-007909 IL Primary

Addresses

Primary practice location

324 W Main St
Carpentersville, IL 60110-2844

Mailing address

324 W Main St
Carpentersville, IL 60110-2844
Phone (847) 426-2121

National Provider Directory

National Provider Directory

Locations

324 W Main St
Carpentersville, IL 60110
Phone (847) 426-2121

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1891094801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W MAIN ST",
            "city": "CARPENTERSVILLE",
            "state": "IL",
            "postal_code": "601102844",
            "telephone_number": "847-426-2121",
            "fax_number": "847-892-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W MAIN ST",
            "city": "CARPENTERSVILLE",
            "state": "IL",
            "postal_code": "601102844",
            "telephone_number": "847-426-2121",
            "fax_number": "847-892-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS & NUTRITION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "SHANNON",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "847-426-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038-007909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carpentersville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.