ADVANCED WELLNESS CENTER, LTD (NPI# 1467799734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467799734 |
| Entity Type | Organization |
| Organization Name | ADVANCED WELLNESS CENTER, LTD |
| Practice Address |
6325 Main St Ste 120 Woodridge IL 60517-1299 |
| Practice Telephone | 6305416773 |
| Practice Fax Number | 6305411748 |
| Mailing Telephone | 6305416773 |
| Mailing Fax Number | 6305417485 |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2015-10-13 |
| Authorized Official Name | EMMY XIAOTIAN WANG (OWNER) |
| Authorized Official Telephone | 8472745464 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038011299 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PROVIDER LICENSE NUMBER | 038011299 | 01 |
| IL | MEDICARE PTAN | F100244107 | 01 |
| Street Address |
6325 MAIN ST STE 120 |
| City | WOODRIDGE |
| State | IL |
| Zip Code | 60517-1299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265085401 | Sana Saqlain | Pharmacist | 10204 Werch Dr, Ste 302, Woodridge, IL 60517 | 2019-07-17 |
| 1326529421 | Allison Ann Chavez | Counselor | 6912 Young Ct, Woodridge, IL 60517 | 2018-08-27 |
| 1245768274 | Monika Maria Waclaw | Dentist | 6440 Main St Ste 310, Woodridge, IL 60517 | 2017-06-04 |
| 1003278946 | Beverly Ehlebracht | Physical Therapy Assistant | 7409 Woodrige Dr, Suite F, Woodrige, IL 60517 | 2016-03-21 |
| 1831597194 | Advanced Wellness Medical, LLC | General Practice | 6325 Main Street, Suite 120, Woodridge, IL 60517 | 2014-12-18 |
| 1538576608 | Northwest Home Care, Inc. | Home Health | 1999 75th Street, Suite 201, Woodridge, IL 60517 | 2014-07-21 |
| 1689956591 | Latha Boyd | Pharmacist | 2501 W 75th St, Woodridge, IL 60517 | 2011-09-16 |
| 1437431798 | Timothy J Madiar | Pharmacist | 2501 West 75th Street, Woodridge, IL 60517 | 2011-09-13 |
| 1720368426 | Matthew Scalzitti | Pharmacist | 7215 Janes Ave. #300, Woodridge, IL 60517 | 2011-08-25 |
| 1538454558 | Karen Hokanson | Pharmacist | 2333 W 63rd St, Woodridge, IL 60517 | 2011-06-17 |
| Find all providers in zip 60517 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558983593 | Matthew Leon Broad | Chiropractor | 2548 Yellow Star St, Woodridge, IL 60517-1710 | 2020-05-13 |
| 1679970628 | Madrin Inc | Chiropractor | 3311 Hobson Rd, Suite B, Woodridge, IL 60517-1587 | 2014-11-19 |
| 1194004689 | Shaeli Waggoner | Chiropractor | 6830 Juneberry Ave, Woodridge, IL 60517-1707 | 2011-08-15 |
| 1962674127 | Rebecca Lea Jeske | Chiropractor | 2926 Sheridan Dr, Woodridge, IL 60517-1020 | 2008-03-27 |
| 1093994154 | Ultimate Chiro Care PC | Chiropractor | 3590 Hobson Rd Ste 301, Woodridge, IL 60517-5409 | 2007-10-25 |
| 1891828109 | Madrin, Inc | Chiropractor | 3311 Hobson Road, Suite B, Woodridge, IL 60517 | 2007-03-14 |
| 1316086267 | Sunspot Spinal & Sports Rehabilitation | Chiropractor | 8224 Lindenwood Ln, Woodridge, IL 60517-4105 | 2007-02-06 |
| 1528111937 | David C Smith | Chiropractor | 6825 Hobson Valley Dr, Suite 103, Woodridge, IL 60517-1453 | 2007-01-19 |
| 1851444582 | Arnold Mark Koldenhoven Jr. | Chiropractor | 7501 Lemont Rd Ste 345, Woodridge, IL 60517-2680 | 2007-01-18 |
| 1497853071 | Perry Anthony Cammisa | Chiropractor | 3590 Hobson Rd, Ste 301, Woodridge, IL 60517-5409 | 2006-09-20 |
| Find all providers in WOODRIDGE | ||||
Please comment or provide details below to improve the information on ADVANCED WELLNESS CENTER, LTD.
| 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.