NPIMap

Organization Active NPI

Chang Family Wellness Center

Doing business as Chang Chiropractic Wellness Center

  • Chiropractor
  • Lisle, IL
National Provider Identifier
1912187931
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHANG FAMILY WELLNESS CENTER
Doing business as
Chang Chiropractic Wellness Center
Practice address
6070 State Route 53
Lisle, IL 60532-3395
Phone
(630) 434-0122
Fax
(630) 963-9344
NPI assigned
Nov 7, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Kristin D. Chang, DCNPI 1942264312
Title
Owner
Phone
(630) 434-0122

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
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

6070 State Route 53
Lisle, IL 60532-3395

Mailing address

6070 State Route 53
Lisle, IL 60532-3395
Phone (630) 963-9344

Other names 1

  • Chang Chiropractic Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

6070 State Route 53
Lisle, IL 60532
Phone (630) 434-0122

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": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1912187931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6070 STATE ROUTE 53",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323395",
            "telephone_number": "630-963-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 STATE ROUTE 53",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323395",
            "telephone_number": "630-434-0122",
            "fax_number": "630-963-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANG FAMILY WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-434-0122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chang Chiropractic Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.