Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LIBERTYVILLE WELLNESS GROUP, INC
NPI 1093090367
Chiropractor in Libertyville, IL

Q: What is Libertyville Wellness Group, Inc's NPI number?

The NPI number for Libertyville Wellness Group, Inc is 1093090367. It was assigned to this organization in the NPPES registry on October 18, 2011.

Q: What is Libertyville Wellness Group, Inc's specialty?

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

Active since October 18, 2011

400 PETERSON RD, LIBERTYVILLE, IL 60048(847) 996-0007(847) 996-0009 Get Directions Write a Review

NPPES record last updated: November 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Libertyville Wellness Group, Inc NPPES

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

LIBERTYVILLE WELLNESS GROUP, INC (NPI 1093090367) is a healthcare organization registered as a chiropractor in Libertyville, Illinois and active in the NPI registry since October 2011. The organization lists Brian Robert Kelchen, Owner, as its authorized official.

NPPES Registry Identity

NPI1093090367

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameLIBERTYVILLE WELLNESS GROUP, INC

Location Address400 PETERSON RDLibertyville, IL 60048-1010

Mailing Address400 Peterson RdLibertyville, IL 60048-1010 · (847) 996-0007 · Fax (847) 996-0009

Phone(847) 996-0007

Fax(847) 996-0009

Organization SubpartNo

Authorized OfficialBrian Robert KelchenOwner · (847) 996-0007

Enumeration DateOctober 18, 2011

Last NPPES UpdateNovember 6, 2026

NPPES CertifiedNovember 6, 2026

✔ NPI 1093090367 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.

400 PETERSON RD, Libertyville, IL 60048

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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)

Libertyville Wellness Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Libertyville Wellness Group, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brian Kelchen, D.C.

Chiropractic

NPI 1730466947

400 PETERSON RD
Libertyville, IL 60048

(847) 996-0007

Same address

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 Libertyville Wellness Group, Inc's NPI number?

The NPI number for Libertyville Wellness Group, Inc is 1093090367. It was assigned to this organization in the NPPES registry on October 18, 2011.

Where is Libertyville Wellness Group, Inc located?

Libertyville Wellness Group, Inc is located at 400 Peterson Rd, Libertyville, IL 60048. The listed phone number is (847) 996-0007.

What is Libertyville Wellness Group, Inc's specialty?

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

Is Libertyville Wellness Group, Inc enrolled in Medicare?

Yes. Libertyville Wellness Group, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Libertyville Wellness Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Libertyville Wellness Group, Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Libertyville Wellness Group, Inc was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.