Organization Active NPI

Stellar Bodytherapy, LTD.

  • Chiropractor
  • Glenview, IL
National Provider Identifier
1982850145
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010096 Issued in IL
Legal business name
STELLAR BODYTHERAPY, LTD.
Practice address
1800 Dewes St
Ste. D
Glenview, IL 60025-4374
Phone
(630) 235-9075
NPI assigned
Aug 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Mr. Adam C. Hildreth, LMT
Title
President
Phone
(630) 306-9074

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038010096 IL Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 227003862 IL

Addresses

Primary practice location

1800 Dewes St
Ste. D
Glenview, IL 60025-4374

Mailing address

1110 Medinah St
Bensenville, IL 60106-1724

Other names 1

  • The Bodhi Tree Center for the Healing Arts Doing business as

National Provider Directory

National Provider Directory

Locations

1800 Dewes St
Ste D
Glenview, IL 60025
Phone (630) 235-9075

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1982850145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 MEDINAH ST",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601061724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 DEWES ST",
            "address_2": "STE. D",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600254374",
            "telephone_number": "630-235-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR BODYTHERAPY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "HILDRETH",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-306-9074",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010096",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227003862",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Bodhi Tree Center for the Healing Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.