MICHIGAN AVE CHIROPRACTIC AND WELLNESS
NPI 1417387960
Chiropractor in Chicago, IL

Q: What is Michigan Ave Chiropractic And Wellness's specialty?

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

Active since November 20, 2013

875 N MICHIGAN AVE STE 2519, CHICAGO, IL 60611(312) 274-0711 Get Directions Write a Review

NPPES record last updated: November 20, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Michigan Ave Chiropractic And Wellness NPPES

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

MICHIGAN AVE CHIROPRACTIC AND WELLNESS (NPI 1417387960) is a healthcare organization registered as a chiropractor in Chicago, Illinois and active in the NPI registry since November 2013. The organization lists Thomas Blake Kivisto, Owner, as its authorized official.

NPPES Registry Identity

NPI1417387960

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameMICHIGAN AVE CHIROPRACTIC AND WELLNESS

Location Address875 N MICHIGAN AVE STE 2519Chicago, IL 60611-1803

Mailing Address875 N Michigan Ave Ste 2519Chicago, IL 60611-1803

Phone(312) 274-0711

Organization SubpartNo

Authorized OfficialThomas Blake KivistoOwner · (312) 274-0711

Enumeration DateNovember 20, 2013

✔ NPI 1417387960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in IL · 038012401

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.

875 N MICHIGAN AVE STE 2519, Chicago, IL 60611

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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

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 Michigan Ave Chiropractic And Wellness's NPI number?

The NPI number for Michigan Ave Chiropractic And Wellness is 1417387960. It was assigned to this organization in the NPPES registry on November 20, 2013.

Where is Michigan Ave Chiropractic And Wellness located?

Michigan Ave Chiropractic And Wellness is located at 875 N Michigan Ave Ste 2519, Chicago, IL 60611. The listed phone number is (312) 274-0711.

What is Michigan Ave Chiropractic And Wellness'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 Michigan Ave Chiropractic And Wellness was last updated on November 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.