1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Chiropractor
  6. NPI Profile

HYDE PARK CHIROPRACTIC WELLNESS CENTER SC
NPI 1104926344
Chiropractor in Chicago, IL

Active since September 25, 2006
1304 E 47TH ST STE 201, CHICAGO, IL 60653(773) 493-7034(773) 493-5521 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Hyde Park Chiropractic Wellness Center Sc NPPES

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

HYDE PARK CHIROPRACTIC WELLNESS CENTER SC (NPI 1104926344) is a healthcare organization registered as a chiropractor in Chicago, Illinois and active in the NPI registry since September 2006. The organization lists Rolande D Balan, Owner, as its authorized official.

NPPES Registry Identity

NPI1104926344
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameHYDE PARK CHIROPRACTIC WELLNESS CENTER SC
Location Address1304 E 47TH ST STE 201Chicago, IL 60653-4695
Mailing Address1304 E 47th St Ste 201Chicago, IL 60653-4695 · (773) 493-7034 · Fax (773) 493-5521
Phone(773) 493-7034
Fax(773) 493-5521
Organization SubpartNo
Authorized OfficialRolande D BalanOwner · (773) 493-7034
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJanuary 11, 2023
NPPES CertifiedJanuary 11, 2023
✔ NPI 1104926344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038007681
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.
1304 E 47TH ST STE 201, Chicago, IL 60653
Open in Google Maps ↗

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)

Hyde Park Chiropractic Wellness Center Sc 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 Hyde Park Chiropractic Wellness Center Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rolande Balan, DC
Chiropractic
NPI 1750378006
1304 E 47TH ST STE 201
Chicago, IL 60653
(773) 493-7034
✔ Accepts MedicareSame 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 Hyde Park Chiropractic Wellness Center Sc's NPI number?

The NPI number for Hyde Park Chiropractic Wellness Center Sc is 1104926344. It was assigned to this organization in the NPPES registry on September 25, 2006.

Where is Hyde Park Chiropractic Wellness Center Sc located?

Hyde Park Chiropractic Wellness Center Sc is located at 1304 E 47th St Ste 201, Chicago, IL 60653. The listed phone number is (773) 493-7034.

What is Hyde Park Chiropractic Wellness Center Sc's specialty?

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

Is Hyde Park Chiropractic Wellness Center Sc enrolled in Medicare?

Yes. Hyde Park Chiropractic Wellness Center Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hyde Park Chiropractic Wellness Center Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Hyde Park Chiropractic Wellness Center Sc. 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 Hyde Park Chiropractic Wellness Center Sc was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.