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WELLNESS REVOLUTION LAKEVIEW LLC
NPI 1063920916
Chiropractor in Chicago, IL

Active since January 12, 2018
3464 N LINCOLN AVE # G1, CHICAGO, IL 60657(773) 348-6908(224) 477-2617 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 18, 2023, Jun 21, 2018, Jun 16, 2018 and 1 more (4 updates tracked since 2018).

About Wellness Revolution Lakeview Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLNESS REVOLUTION LAKEVIEW LLC (NPI 1063920916), doing business as The Wellness Revolution Chiropractic And Acupuncture Center, is a healthcare organization registered as a chiropractor in Chicago, Illinois and active in the NPI registry since January 2018. The organization lists Anthony Breitbach, Owner, as its authorized official.

NPPES Registry Identity

NPI1063920916
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWELLNESS REVOLUTION LAKEVIEW LLC
Location Address3464 N LINCOLN AVE # G1Chicago, IL 60657-1173
Mailing Address3464 N Lincoln Ave # G1Chicago, IL 60657-1173 · (773) 348-6908 · Fax (224) 477-2617
Phone(773) 348-6908
Fax(224) 477-2617
Organization SubpartNo
Authorized OfficialAnthony BreitbachOwner · (847) 869-1773
Enumeration DateJanuary 12, 2018
Last NPPES UpdateAugust 28, 20254 updates tracked since enumeration
NPPES CertifiedAugust 28, 2025
✔ NPI 1063920916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
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.
3464 N LINCOLN AVE # G1, Chicago, IL 60657
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Other Names 1

Doing Business AsThe Wellness Revolution Chiropractic And Acupuncture Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wellness Revolution Lakeview Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Wellness Revolution Lakeview LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Lucas Gellis, DC
Chiropractic
NPI 1760908313
3464 N LINCOLN AVE
Chicago, IL 60657
(773) 348-6908
Same address
Katie Keelin, DC
Chiropractic
NPI 1760250583
3464 N LINCOLN AVE
Chicago, IL 60657
(773) 348-6908
Same address
John Nguyen
Chiropractic
NPI 1386199529
3464 N LINCOLN AVE STE 100
Chicago, IL 60657
(773) 348-6908
Same address
Andrea Shavitz, D.C.
Chiropractic
NPI 1942258785
3259 N ASHLAND AVE
Chicago, IL 60657
(773) 348-6908
0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellness Revolution Lakeview LLC's NPI number?

The NPI number for Wellness Revolution Lakeview LLC is 1063920916. It was assigned to this organization in the NPPES registry on January 12, 2018. The provider is doing business as The Wellness Revolution Chiropractic and Acupuncture Center.

Where is Wellness Revolution Lakeview LLC located?

Wellness Revolution Lakeview LLC is located at 3464 N Lincoln Ave # G1, Chicago, IL 60657. The listed phone number is (773) 348-6908.

What is Wellness Revolution Lakeview LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Wellness Revolution Lakeview LLC enrolled in Medicare?

Yes. Wellness Revolution Lakeview LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellness Revolution Lakeview LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Chiropractic, reassign their Medicare billing to Wellness Revolution Lakeview LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wellness Revolution Lakeview LLC was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.