DR. SHELBY WALL DC
NPI 1194360867
Chiropractor in Oak Park, IL

Q: What is Shelby Wall's NPI number?

The NPI number for Shelby Wall is 1194360867. It was assigned to this individual provider in the NPPES registry on November 16, 2019.

Q: What is Shelby Wall's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shelby Wall was last updated on November 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since November 16, 2019

424 S EUCLID AVE, OAK PARK, IL 60302(319) 480-7085 Get Directions Write a Review

NPPES record last updated: November 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Shelby Wall Dc NPPES

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

DR. SHELBY WALL DC (NPI 1194360867) is an individual chiropractor in Oak Park, Illinois, licensed in Illinois (038.013468) and active in the NPI registry since November 2019. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1194360867

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameDR. SHELBY WALLCredential: DC

Location Address424 S EUCLID AVEOak Park, IL 60302-3928

Mailing Address424 S Euclid AveOak Park, IL 60302-3928 · (319) 480-7085

Phone(319) 480-7085

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 16, 2019

✔ NPI 1194360867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in IL · 038.013468

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.

424 S EUCLID AVE, Oak Park, IL 60302

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shelby Wall Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224466115

PECOS Enrollment IDI20200306000651

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 Shelby Wall's NPI number?

The NPI number for Shelby Wall is 1194360867. It was assigned to this individual provider in the NPPES registry on November 16, 2019.

Where is Shelby Wall located?

Shelby Wall practices at 424 S Euclid Ave, Oak Park, IL 60302. The listed phone number is (319) 480-7085.

What is Shelby Wall's specialty?

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

Is Shelby Wall enrolled in Medicare?

Yes. Shelby Wall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shelby Wall was last updated on November 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.