Chiro One Wellness Center of Libertyville LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIRO ONE WELLNESS CENTER OF LIBERTYVILLE LLC

Practice address

149 Buckley Rd
Libertyville, IL 60048-1400

Phone

(224) 207-4180

Fax

(224) 207-4185

NPI assigned

Apr 13, 2009

Last updated

Jun 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sam WangNPI 1073520136

Title

Coo

Phone

(630) 229-4430

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 6

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.

• Tyler Zoesch, DC

  • Chiropractor
  • Libertyville, IL
  • NPI 1053734053
  Medicare reassignment NPD
• Sam Wang, DC

  • Chiropractor
  • Libertyville, IL
  • NPI 1073520136
  Authorized official Same address or phone
• Mark Lagerkvist, D.C.

  • Chiropractor
  • Crystal Lake, IL
  • NPI 1578574604
  NPD (past)
• Brian Rutecki, DC

  • Chiropractor
  • Oak Brook, IL
  • NPI 1104841782
  NPD (past)
• Samuel Smith, DC

  • Chiropractor
  • Vancouver, WA
  • NPI 1508328246
  NPD (past)
• Raffaela M a Villella, DC

  • Chiropractor
  • Lakewood Ranch, FL
  • NPI 1588617583
  NPD (past)

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1942443577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD",
            "address_2": "STE 301N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231234",
            "telephone_number": "630-229-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 BUCKLEY RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481400",
            "telephone_number": "224-207-4180",
            "fax_number": "224-207-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO ONE WELLNESS CENTER OF LIBERTYVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "630-229-4430"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chicagoland Hearing (Chicagoland Audibel)
• Heth Chikani, PT, DPT, OCS, MBA
• Children's Physician Group (Pediatric and Allergy Associates)
• David Chilicki
• Malina Chin, OT
• Chiropractic Health Centre of Lake County
• Chiropractic Health Centre, PC.
• Nancy Chodash, NP
• Jae Hong Choi, DC, MSOM
• Justin Choi, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.