CHIRO ONE WELLNESS CENTER OF CRYSTAL LAKE SC
NPI 1124155098
Chiropractor in Crystal Lake, IL

Active since February 27, 2007
435 ANGELA LN STE 12, CRYSTAL LAKE, IL 60014(815) 301-4200(815) 301-4205 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 30, 2023, Mar 27, 2018, Dec 27, 2017 and 1 more (4 updates tracked since 2017).

About Chiro One Wellness Center Of Crystal Lake Sc NPPES

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

CHIRO ONE WELLNESS CENTER OF CRYSTAL LAKE SC (NPI 1124155098) is a healthcare organization registered as a chiropractor in Crystal Lake, Illinois and active in the NPI registry since February 2007. The organization lists Sam Wang, Coo, as its authorized official.

NPPES Registry Identity

NPI1124155098
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCHIRO ONE WELLNESS CENTER OF CRYSTAL LAKE SC
Location Address435 ANGELA LN STE 12Crystal Lake, IL 60014-1074
Mailing Address2625 Butterfield Rd, Ste 301nOak Brook, IL 60523-1234 · (630) 468-1824 · Fax (630) 701-1007
Fax(815) 301-4205
Organization SubpartNo
Authorized OfficialSam WangCoo · (630) 468-1824
Enumeration DateFebruary 27, 2007
Last NPPES UpdateMay 30, 20234 updates tracked since enumeration
NPPES CertifiedMay 30, 2023
NPI 1124155098 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.
435 ANGELA LN STE 12, Crystal Lake, IL 60014

Other Identifiers 1

Other5632232IL · Bcbs

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

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 Chiro One Wellness Center Of Crystal Lake Sc's NPI number?

The NPI number for Chiro One Wellness Center Of Crystal Lake Sc is 1124155098. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Chiro One Wellness Center Of Crystal Lake Sc located?

Chiro One Wellness Center Of Crystal Lake Sc is located at 435 Angela Ln Ste 12, Crystal Lake, IL 60014. The listed phone number is (815) 301-4200.

What is Chiro One Wellness Center Of Crystal Lake Sc'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 Chiro One Wellness Center Of Crystal Lake Sc was last updated on May 30, 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.