NPIMap

Organization Active NPI

Lone Star Chiropractic and Wellness Center LLC

  • Chiropractor
  • Shorewood, IL
National Provider Identifier
1912390030
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012568 Issued in IL
Legal business name
LONE STAR CHIROPRACTIC AND WELLNESS CENTER LLC
Practice address
852 Sharp Dr
Unit J
Shorewood, IL 60404-8843
Phone
(815) 341-5327
NPI assigned
Mar 13, 2015
Last updated
Mar 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Authorized official

Name
Jenna A Ewers, D.C.NPI 1235550641
Title
Owner
Phone
(815) 341-5327

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 038012568 IL Primary

Addresses

Primary practice location

852 Sharp Dr
Unit J
Shorewood, IL 60404-8843

Mailing address

4319 Timber Ridge CT
Joliet, IL 60431-1705

National Provider Directory

National Provider Directory

Locations

852 Sharp Dr
Unit J
Shorewood, IL 60404
Phone (815) 341-5327

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": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1912390030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 TIMBER RIDGE CT",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604311705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 SHARP DR",
            "address_2": "UNIT J",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604048843",
            "telephone_number": "815-341-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR CHIROPRACTIC AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "EWERS",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-341-5327",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shorewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.