Organization Active NPI

Arlington Heights Chiropractic Center SC

  • Chiropractor
  • Arlington Heights, IL
National Provider Identifier
1972803740
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-007472 Issued in IL
Legal business name
ARLINGTON HEIGHTS CHIROPRACTIC CENTER SC
Practice address
1020 S Arlington Heights Rd
Arlington Heights, IL 60005-3169
Phone
(847) 394-5454
Fax
(866) 388-7589
NPI assigned
Oct 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Authorized official

Name
Dr. John Berkeley Wendel, D.C.NPI 1649250705
Title
President/Owner
Phone
(847) 394-5454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038-007472 IL Primary

Addresses

Primary practice location

1020 S Arlington Heights Rd
Arlington Heights, IL 60005-3169

Mailing address

1020 S Arlington Heights Rd
Arlington Heights, IL 60005-3169
Phone (847) 394-5454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101103001212 IL Part B Supplier - Clinic/Group Practice 8426242421 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington Heights, IL

National Provider Directory

National Provider Directory

Locations

1020 S Arlington Heights Rd
#1
Arlington Heights, IL 60005
Phone (847) 394-5454

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1972803740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053169",
            "telephone_number": "847-394-5454",
            "fax_number": "866-388-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053169",
            "telephone_number": "847-394-5454",
            "fax_number": "866-388-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON HEIGHTS CHIROPRACTIC CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "WENDEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BERKELEY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "847-394-5454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.