GOLD COAST WELLNESS
NPI 1073607016
Chiropractor in Chicago, IL

Active since October 03, 2006
1360 N SANDBURG TER, SUITE 101, CHICAGO, IL 60610(312) 944-4653(312) 944-0747 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gold Coast Wellness NPPES

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

GOLD COAST WELLNESS (NPI 1073607016) is a healthcare organization registered as a chiropractor in Chicago, Illinois and active in the NPI registry since October 2006. The organization lists Sargon Benjamin Odisho, Owner, as its authorized official.

NPPES Registry Identity

NPI1073607016
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGOLD COAST WELLNESS CENTER LTD.
Location Address1360 N SANDBURG TER, SUITE 101Chicago, IL 60610-2075
Mailing Address1360 N Sandburg Ter, Suite 101Chicago, IL 60610-2075 · (312) 944-4653 · Fax (312) 944-0747
Fax(312) 944-0747
Organization SubpartNo
Authorized OfficialSargon Benjamin OdishoOwner · (312) 944-4653
Enumeration DateOctober 3, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1073607016 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.
1360 N SANDBURG TER, Chicago, IL 60610

Other Names 1

Doing Business AsGold Coast Wellness

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1360 N SANDBURG TER, SUITE 101
CHICAGO, IL 60610
Dentist
1360 N SANDBURG TER, 102-C
CHICAGO, IL 60610
Dentist
1360 N SANDBURG TER, DENTAL OFFICE-MALL
CHICAGO, IL 60610
Chiropractor
1360 N SANDBURG TER, SUITE 101
CHICAGO, IL 60610
Chiropractor
1360 N SANDBURG TER
CHICAGO, IL 60610
Chiropractor
1360 N SANDBURG TER
CHICAGO, IL 60610

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 Gold Coast Wellness Center Ltd.'s NPI number?

The NPI number for Gold Coast Wellness Center Ltd. is 1073607016. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is doing business as Gold Coast Wellness.

Where is Gold Coast Wellness Center Ltd. located?

Gold Coast Wellness Center Ltd. is located at 1360 N Sandburg Ter Suite 101, Chicago, IL 60610. The listed phone number is (312) 944-4653.

What is Gold Coast Wellness Center Ltd.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Gold Coast Wellness Center Ltd. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.