BOLINGBROOK WELLNESS – NPI #1114310893
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.

Health Care Provider Taxonomy Code for Chiropractor

BOLINGBROOK WELLNESS is a chiropractor located in BOLINGBROOK, IL. NPPES has assigned the NPI number 1114310893 to BOLINGBROOK WELLNESS on March 05, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 111N00000X from the Health Care Provider Taxonomy code set, which is classified as Chiropractor.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOLINGBROOK WELLNESS below.

NPI Profile for
BOLINGBROOK WELLNESS

NPI Number
1114310893
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BOLINGBROOK WELLNESS
Primary location
550 E BOUGHTON RD
SUITE 205
BOLINGBROOK, IL 60440-2100
Phone: (630) 410-2620 Fax: (630) 410-2623
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GUS SPATHARAKIS
CLINIC DIRECTOR
Phone: (630) 410-2620
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
111N00000X
- Chiropractor (Primary)		 IL 038.012495

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.