MANTENO CHIROPRACTIC & WELLNESS CENTER
NPI 1346839768
Chiropractor in Manteno, IL

Active since January 11, 2021
43 W SECOND ST, MANTENO, IL 60950(815) 200-4362 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Manteno Chiropractic & Wellness Center NPPES

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

MANTENO CHIROPRACTIC & WELLNESS CENTER (NPI 1346839768) is a healthcare organization registered as a chiropractor in Manteno, Illinois and active in the NPI registry since January 2021. The organization lists Leslie J Botta, Owner, as its authorized official.

NPPES Registry Identity

NPI1346839768
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMANTENO CHIROPRACTIC & WELLNESS CENTER
Location Address43 W SECOND STManteno, IL 60950-1240
Mailing Address43 W Second StManteno, IL 60950-1240 · (815) 200-4362
Organization SubpartNo
Authorized OfficialLeslie J BottaOwner · (815) 200-4362
Enumeration DateJanuary 11, 2021
NPPES CertifiedJanuary 11, 2021
✔ NPI 1346839768 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.
43 W SECOND ST, Manteno, IL 60950

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)

Manteno Chiropractic & Wellness Center 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 Manteno Chiropractic & Wellness Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1669744306
43 W SECOND ST
Manteno, IL 60950
(815) 200-4362
✔ 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 Manteno Chiropractic & Wellness Center's NPI number?

The NPI number for Manteno Chiropractic & Wellness Center is 1346839768. It was assigned to this organization in the NPPES registry on January 11, 2021.

Where is Manteno Chiropractic & Wellness Center located?

Manteno Chiropractic & Wellness Center is located at 43 W Second St, Manteno, IL 60950. The listed phone number is (815) 200-4362.

What is Manteno Chiropractic & Wellness Center's specialty?

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

Is Manteno Chiropractic & Wellness Center enrolled in Medicare?

Yes. Manteno Chiropractic & Wellness Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Manteno Chiropractic & Wellness Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Manteno Chiropractic & Wellness Center. 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 Manteno Chiropractic & Wellness Center was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.