SPINE & WELLNESS CLINIC, INC. (NPI# 1851931109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851931109 |
| Entity Type | Organization |
| Organization Name | SPINE & WELLNESS CLINIC, INC. |
| Practice Address |
775 N Bank Lane Suite 101 Lake Forest IL 60045 |
| Practice Telephone | 2244368080 |
| Mailing Telephone | 2244368080 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |
| Authorized Official Name | DR. WENDY L FLYNN (PRES) |
| Authorized Official Telephone | 2244368080 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
775 N BANK LANE SUITE 101 |
| City | LAKE FOREST |
| State | IL |
| Zip Code | 60045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184278640 | Mary Belluomini Dipietro | Dietitian, Registered | 1000 North Westmoreland Rd., Lake Forest, IL 60045 | 2019-08-01 |
| 1336621747 | Brook Elizabeth Orvis | Physical Therapist | 1000 N Westmoreland Road, 2nd Floor, Pavilion B, Lake Forest, IL 60045 | 2018-08-31 |
| 1336621028 | Michelle Nebel | Audiologist | 225 East Deerpath, Suite 223, Lake Forest, IL 60045 | 2018-08-30 |
| 1467951731 | Devan Keesling | Audiologist | 800 N Westmoreland Rd Ste Ll30, Lake Forest, IL 60045 | 2018-02-01 |
| 1023516796 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Westmoreland Rd Ste A, Lake Forest, IL 60045 | 2018-01-29 |
| 1275056780 | Karen Elizabeth Cohen | Counselor | 1331 S. Estate Lane, Lake Forest, IL 60045 | 2017-07-18 |
| 1497281711 | Caroline Connors | Speech-Language Pathologist | 660 Westmoreland Road, Lake Forest, IL 60045 | 2017-05-05 |
| 1013453406 | Katie L Konopacz | Nurse Practitioner | 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 | 2017-01-10 |
| 1225424575 | Sean Robert Wessel | Internal Medicine | 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 | 2015-04-14 |
| 1407254337 | Lady Ariane Garcia | Nurse Practitioner | 700 N. Westmoreland Rd Suite F, Lake Forest, IL 60045 | 2014-12-09 |
| Find all providers in zip 60045 | ||||
| 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 |
|---|---|---|---|---|
| 1407462062 | Glass Chiropractic Corporation | Chiropractor | 22672 Lambert St Ste 601, Lake Forest, CA 92630-1613 | 2020-09-18 |
| 1962036616 | Lane N Tran | Chiropractor | 26242 Dimension Dr Ste 150, Lake Forest, CA 92630-7811 | 2020-03-02 |
| 1467942573 | Nicholas Deliberato | Chiropractor | 22706 Aspan St Ste 702, Lake Forest, CA 92630-1641 | 2018-05-14 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1831583236 | Farangis Sabeti-kolahi Chiropractic, Inc. | Chiropractor | 22762 Aspen St Ste 205, Lake Forest, CA 92630-1604 | 2015-03-24 |
| 1437440047 | Kari Leigh Young | Chiropractor | 23101 Lake Center Dr Ste 110, Lake Forest, CA 92630-2882 | 2011-04-29 |
| 1154629699 | Straw Chiropractic Corp | Chiropractor | 23101 Lake Center Dr Ste 101, Lake Forest, CA 92630-2898 | 2011-03-08 |
| 1720385065 | Chi Therapy Center | Chiropractor | 24531 Trabuco Rd Ste C&d, Lake Forest, CA 92630-2162 | 2011-02-23 |
| 1265739718 | Christian Chee Chiropractic Inc | Chiropractor | 20671 Lake Forest Dr, Ste B-102, Lake Forest, CA 92630-7746 | 2011-02-18 |
| 1942505870 | Alternative Medicine & Natural Therapy Institute, A Professional Corp. | Chiropractor | 24531 Trabuco Rd, Suite #c, Lake Forest, CA 92630-2162 | 2011-01-25 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 60045 |
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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.