Wolf Creek Medical Solutions, LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-008047 Issued in IL

Legal business name

WOLF CREEK MEDICAL SOLUTIONS, LTD

Practice address

67 Wolf Creek Dr
Swansea, IL 62226-2355

Phone

(618) 236-3600

NPI assigned

Feb 26, 2016

Organization subpart

No

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

Authorized official

Name

Patrick Komeshak, DCNPI 1043275142

Title

Physician

Phone

(618) 236-3600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Komeshak, DC

  • Chiropractor
  • Swansea, IL
  • NPI 1043275142
  Medicare reassignment Authorized official
• Clinton Dale Whittler, DC

  • Chiropractor
  • Powell, TN
  • NPI 1447915723
  NPD (past)

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1922468495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 WOLF CREEK DR",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262355",
            "telephone_number": "618-236-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 WOLF CREEK DR",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262355",
            "telephone_number": "618-236-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF CREEK MEDICAL SOLUTIONS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "KOMESHAK",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "618-236-3600",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Lee Winters, LCSW
• Ebony T Winters
• Jovonda Monique Winters, MA, MA, MSW
• Brandy R Wojciuch, MS, CCC-A
• Wolf Branch School Dist. 113
• Elliot Neil Wool, M.D.
• Words 4 Motion
• Angela D Wuebbels, PT
• Cameron Young, LPC
• Qamar U Zaman, M.D.

• Chiropractor in Swansea, IL
• Providers in Swansea, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.