LIFE WELLNESS CLINIC, INC. (NPI# 1023396744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023396744 |
| Entity Type | Organization |
| Organization Name | LIFE WELLNESS CLINIC, INC. |
| Practice Address |
2037 Milwaukee Ave Riverwoods IL 60015-3581 |
| Practice Telephone | 8472428047 |
| Practice Fax Number | 8472428048 |
| Mailing Telephone | 8472428047 |
| Mailing Fax Number | 8472428048 |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-07-29 |
| Authorized Official Name | MOON HONG DOH (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2245457787 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NI0900X |
Chiropractor Specialization: Internist |
038011280 | IL | Chiropractic Providers |
| Street Address |
2037 MILWAUKEE AVE |
| City | RIVERWOODS |
| State | IL |
| Zip Code | 60015-3581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467073569 | Steven A Ditgen | Physical Therapist | 43 N. Waukegan Road, Deerfield, IL 60015 | 2020-04-29 |
| 1760017255 | Amanda Barkley | Pharmacist | 200 Wilmont Rd, Deerfield, IL 60015 | 2020-03-05 |
| 1467001487 | Nora Fahmi | Pharmacist | Walgreen Co., 200 Wilmot Road, Deerfield, IL 60015 | 2019-09-11 |
| 1477105187 | Anthony Greis | Obstetrics & Gynecology | 540 Lake Cook Road, Suite 300, Deerfield, IL 60015 | 2019-07-12 |
| 1528628484 | Cynthia Lynne Mckinzie | Psychologist | The Neuroscience Center, 440 Lake Cook Road, Deerfield, IL 60015 | 2019-06-13 |
| 1073084497 | Mary Jeane Jeane Velez | Nurse Practitioner | Brentwood Rehabilitation Center, 3705 Deerfield Rd., Deerfield, IL 60015 | 2018-12-11 |
| 1891264644 | Smile On of North Shore, PC | Dentist | 707 Lake Cook Rd., Suite 121, Deerfield, IL 60015 | 2018-11-21 |
| 1497236376 | Linda Li | Counselor | 15 Parkway North Blvd, Deerfield, IL 60015 | 2018-08-28 |
| 1174009831 | Rachael Michelle Lynn | Physician Assistant | 1302 Hazel Ave, Deerfield, IL 60015 | 2018-07-16 |
| 1730675182 | Alexandra Lee Joseph | Social Worker | 420 Lake Cook Road, Suite 113, Deerfield, IL 60015 | 2018-07-09 |
| Find all providers in zip 60015 | ||||
| Taxonomy Code | 111NI0900X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Internist |
| The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447496179 | Moon-hong Doh | Chiropractor | 2037 Milwaukee Ave., Riverwoods, IL 60015 | 2008-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352407 | Joel Edward Kiselka | Chiropractor | 1406 W Chicago Ave, Chicago, IL 60642-5479 | 2020-09-23 |
| 1922465251 | Brittany Marie Parisot-sebby | Chiropractor | 8706 Oakwood Dr, Village of Lakewood, IL 60014-5132 | 2016-01-17 |
| 1437573839 | York Chiropractic Clinic PC | Chiropractor | 486 S Spring Rd, Elmhurst, IL 60126-3858 | 2014-02-06 |
| 1942640479 | Bodies In Balance Whole Health, LLC | Chiropractor | 3100 Dundee Rd Ste 504, Northbrook, IL 60062-2449 | 2013-06-28 |
| 1801154356 | Kendall David Gregory | Chiropractor | 462 S President St, Unit 303, Carol Stream, IL 60188-3221 | 2012-05-02 |
| 1285909200 | Rockford Wellness Corporation Sc | Chiropractor | 6019 Fincham Road, Rockford, IL 61108 | 2012-03-09 |
| 1568760759 | Graun Chiropractic Clinic | Chiropractor | 6428 S Cass Ave, Westmont, IL 60559-3209 | 2011-03-11 |
| 1083924641 | Preety Pratik Shah | Chiropractor | 1736 Ariana Dr, Bartlett, IL 60103-2314 | 2010-10-18 |
| 1093949059 | Ross Chiropractic LLC | Chiropractor | 474 Central Ave, Suite Ll#3, Highland Park, IL 60035-2680 | 2009-05-06 |
| 1275734808 | Michael R. Leasenby | Chiropractor | 3737 38th Ave, Moline, IL 61265-6402 | 2007-05-30 |
| Find all providers with the same taxonomy | ||||
| City | RIVERWOODS |
| Zip Code | 60015 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.