NPIMap

Organization Active NPI

Health on Earth Wellness Centers South Loop, LLC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1982909958
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HEALTH ON EARTH WELLNESS CENTERS SOUTH LOOP, LLC
Practice address
2334 S Michigan Ave
Chicago, IL 60616-2105
Phone
(708) 532-8080
Fax
(708) 532-8383
NPI assigned
Jan 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Authorized official

Name
Frank Vaught Jr., DC
Title
Manager
Phone
(314) 704-5959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2334 S Michigan Ave
Chicago, IL 60616-2105

Mailing address

7711 W 159TH St
Suite 102
Tinley Park, IL 60477-1329
Phone (708) 532-8080

National Provider Directory

National Provider Directory

Locations

2334 S Michigan Ave
Chicago, IL 60616
Phone (312) 225-5550

7711 W 159th St
Ste 102
Tinley Park, IL 60477
Phone (708) 614-1414

Practitioners & affiliated clinicians

Practitioners 3

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": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1982909958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 W 159TH ST",
            "address_2": "SUITE 102",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771329",
            "telephone_number": "708-532-8080",
            "fax_number": "708-532-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162105",
            "telephone_number": "708-532-8080",
            "fax_number": "708-532-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH ON EARTH WELLNESS CENTERS SOUTH LOOP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "VAUGHT",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-704-5959",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.