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DR. SHAELI WAGGONER D.C.
NPI 1194004689
Chiropractor in Woodridge, IL

Active since August 15, 2011Accepts Medicare Assignment
6830 JUNEBERRY AVE, WOODRIDGE, IL 60517(563) 320-5670 Get Directions Write a Review

NPPES record last updated: August 15, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Shaeli Waggoner D.c. NPPES

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

DR. SHAELI WAGGONER D.C. (NPI 1194004689) is an individual chiropractor in Woodridge, Illinois, licensed in Illinois (038010540) and active in the NPI registry since August 2011. She is a graduate of Other (2005).

NPPES Registry Identity

NPI1194004689
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. SHAELI WAGGONERCredential: D.C.
Location Address6830 JUNEBERRY AVEWoodridge, IL 60517-1707
Mailing Address6830 Juneberry AveWoodridge, IL 60517-1707 · (563) 320-5670
Phone(563) 320-5670
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 15, 2011
✔ NPI 1194004689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038010540
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.
6830 JUNEBERRY AVE, Woodridge, IL 60517
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shaeli Waggoner D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597932913
PECOS Enrollment IDI20120125000348

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 Shaeli Waggoner's NPI number?

The NPI number for Shaeli Waggoner is 1194004689. It was assigned to this individual provider in the NPPES registry on August 15, 2011.

Where is Shaeli Waggoner located?

Shaeli Waggoner practices at 6830 Juneberry Ave, Woodridge, IL 60517. The listed phone number is (563) 320-5670.

What is Shaeli Waggoner's specialty?

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

Is Shaeli Waggoner enrolled in Medicare?

Yes. Shaeli Waggoner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shaeli Waggoner was last updated on August 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.