CHIRO ONE WELLNESS CENTERS OF CRYSTAL LAKE LLC (NPI# 1679641492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679641492 |
| Entity Type | Organization |
| Organization Name | CHIRO ONE WELLNESS CENTERS OF CRYSTAL LAKE LLC |
| Practice Address |
435 Angela Lane Unit 19 Crystal Lake IL 60041 |
| Mailing Address |
Po Box 9399 Naperville IL 60567-0399 |
| Practice Telephone | 6307710434 |
| Practice Fax Number | 6307710432 |
| Mailing Telephone | 6307710434 |
| Mailing Fax Number | 6307710432 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SAM WANG (CEO PRESIDENT) |
| Authorized Official Telephone | 6307710434 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
| Street Address |
435 ANGELA LANE UNIT 19 |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749151 | Derrick Drew Pousson | Chiropractor | 36485 N Maple Ave, Ingleside, IL 60041 | 2017-09-12 |
| 1699216507 | Patrice Ann Piechur | Registered Nurse | 404 Madison Ave., Ingleside, IL 60041 | 2017-03-10 |
| 1609973049 | Jennifer Ann O'grady | Speech-Language Pathologist | 35050 N. Frontage Rd., Ingleside, IL 60041 | 2006-09-20 |
| 1770695173 | Forrest Frank Kogut | Chiropractor | 601 S Route 59, Ingleside, IL 60041 | 2006-08-31 |
| 1447236229 | William C Dam | Internal Medicine | 214 Washington St, Ingleside, IL 60041 | 2005-12-22 |
| 1144461278 | Fox Lake Fire Protection District | Ambulance | 306 Washington St, Ingleside, IL 60041-0000 | 2009-03-19 |
| 1174759294 | Fox Lake Fire Protection District | Ambulance | 306 Washington, #237, Ingleside, IL 60041-0237 | 2009-06-03 |
| 1912217845 | Cecelia Blue | Counselor | 500 Spring Rd, 275, Ingleside, IL 60041-0275 | 2010-10-13 |
| 1124568720 | Maria Teresa Queypo | Registered Nurse | 604 Rollins Rd Unit 355, Ingleside, IL 60041-4401 | 2017-03-01 |
| 1104133552 | Caryn Anne Gehrke | Social Worker | 36859 N Stanton Point Rd, Ingleside, IL 60041-8411 | 2010-09-07 |
| Find all providers in zip 60041 | ||||
| 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 |
|---|---|---|---|---|
| 1679967434 | Ali M Dia | Chiropractor | 30 N Williams St, Crystal Lake, IL 60014-4471 | 2015-03-19 |
| 1083036693 | Barbara Allegretti | Chiropractor | 1500 Carlemont Dr Ste M, Crystal Lake, IL 60014-1833 | 2014-01-16 |
| 1134556822 | Crystal Lake Natural Health Care | Chiropractor | 30b N Williams St, Crystal Lake, IL 60014 | 2013-09-26 |
| 1881038040 | Sean Patrick Gilmore | Chiropractor | 30 B North Williams Street, Crystal Lake, IL 60014-4471 | 2013-04-18 |
| 1811266554 | Superior Health and Wellness of Crystal Lake, Ltd. | Chiropractor | 6119 Northwest Hwy Ste B, Crystal Lake, IL 60014-7911 | 2011-12-27 |
| 1942448451 | Dynamic Health & Wellness, Ltd. | Chiropractor | 6119 Northwest Hwy, Suite B, Crystal Lake, IL 60014-7911 | 2009-01-22 |
| 1003052085 | First Choice Family Health | Chiropractor | 35 Berkshire Dr Ste 12, Crystal Lake, IL 60014-7700 | 2008-12-23 |
| 1104090661 | Laura Ann Crane | Chiropractor | 405 E Congress Pkwy Ste C, Crystal Lake, IL 60014-6229 | 2008-04-16 |
| 1336330208 | Gretchen Graham | Chiropractor | 930 Pyott Rd, Suite 102, Crystal Lake, IL 60014-8720 | 2007-08-06 |
| 1154530947 | Ivers Chiropractic, Inc. | Chiropractor | 1024 Mchenry Ave, Suite E, Crystal Lake, IL 60014-7477 | 2007-05-21 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60041 |
Please comment or provide details below to improve the information on CHIRO ONE WELLNESS CENTERS OF CRYSTAL LAKE LLC.
| 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.