Organization Active NPI

Chiro One Wellness Center of Burr Ridge LLC

  • Chiropractor
  • Burr Ridge, IL
National Provider Identifier
1912935982
Registry record updated Oct 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010467 Issued in IL
Legal business name
CHIRO ONE WELLNESS CENTER OF BURR RIDGE LLC
Practice address
316 Burr Ridge Parkway
Burr Ridge, IL 60527
Phone
(630) 655-9970
Fax
(630) 655-9870
NPI assigned
Jun 29, 2006
Last updated
Oct 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2026

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038010467 IL Primary

Addresses

Primary practice location

316 Burr Ridge Parkway
Burr Ridge, IL 60527

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 IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040610000200 IL Part B Supplier - Clinic/Group Practice 7214910314 Receives reassigned benefits from 1 practitioner
Practice locations: Burr Ridge, IL

National Provider Directory

National Provider Directory

Locations

316 Burr Ridge Pkwy
Burr Ridge, IL 60527
Phone (630) 523-0515

Practitioners & affiliated clinicians

Practitioners 4

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": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793318400000",
    "number": "1912935982",
    "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": "316 BURR RIDGE PARKWAY",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "60527",
            "telephone_number": "630-655-9970",
            "fax_number": "630-655-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO ONE WELLNESS CENTER OF BURR RIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "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": "IL",
            "license": "038010467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.