Active NPI
Stellar Bodytherapy, LTD.
- Chiropractor
- Glenview, IL
National Provider Identifier
1982850145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038010096
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038010096 | IL | Primary |
| Massage Therapist | 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
National Provider Directory
National Provider DirectoryLocations
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.