Active NPI
West Cermak Road Wellness
- Chiropractor
- Cicero, IL
National Provider Identifier
1962833095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038012038
- Legal business name
- WEST CERMAK ROAD WELLNESS
- Practice address
- 5623 W Cermak Rd
Cicero, IL 60804-2220 - Phone
- (708) 863-1001
- NPI assigned
- Nov 27, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael William McKeller, D.C.
- Title
- Doctor
- Phone
- (708) 863-1001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038012038 | IL | Primary |
Addresses
Primary practice location
5623 W Cermak Rd
Cicero, IL 60804-2220
Mailing address
5623 W Cermak Rd
Cicero, IL 60804-2220
Phone (708) 863-1001
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1385510400000",
"number": "1962833095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5623 W CERMAK RD",
"city": "CICERO",
"state": "IL",
"postal_code": "608042220",
"telephone_number": "708-863-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5623 W CERMAK RD",
"city": "CICERO",
"state": "IL",
"postal_code": "608042220",
"telephone_number": "708-863-1001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST CERMAK ROAD WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-27",
"last_updated": "2013-11-27",
"status": "A",
"authorized_official_last_name": "MCKELLER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "708-863-1001",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038012038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cicero, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.