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CHIRO ONE WELLNESS CENTER OF EVERGREEN PARK LLC
NPI 1548817547
Chiropractor in Chicago, IL

Active since August 23, 2019
9715 S WESTERN AVE, CHICAGO, IL 60643(630) 468-1824 Get Directions Write a Review

NPPES record last updated: August 23, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Chiro One Wellness Center Of Evergreen Park Llc NPPES

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

CHIRO ONE WELLNESS CENTER OF EVERGREEN PARK LLC (NPI 1548817547) is a healthcare organization registered as a chiropractor in Chicago, Illinois and active in the NPI registry since August 2019. The organization lists Stuart Bernsen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548817547
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCHIRO ONE WELLNESS CENTER OF EVERGREEN PARK LLC
Location Address9715 S WESTERN AVEChicago, IL 60643-1723
Mailing Address2625 Butterfield Rd Ste 301nOak Brook, IL 60523-1266 · (630) 468-1824
Phone(630) 468-1824
Organization SubpartNo
Authorized OfficialStuart BernsenCeo · (630) 468-1824
Enumeration DateAugust 23, 2019
✔ NPI 1548817547 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.
9715 S WESTERN AVE, Chicago, IL 60643
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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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chiro One Wellness Center Of Evergreen Park Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Chiro One Wellness Center Of Evergreen Park LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Driesen Evans, DC
Chiropractic
NPI 1952271397
9715 S WESTERN AVE
Chicago, IL 60643
(708) 658-4987
Same address
Robert Butt, D.C.
Chiropractic
NPI 1295881639
5116 W 95TH ST
Oak Lawn, IL 60453
(708) 581-7070
3.5 mi

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 Chiro One Wellness Center Of Evergreen Park LLC's NPI number?

The NPI number for Chiro One Wellness Center Of Evergreen Park LLC is 1548817547. It was assigned to this organization in the NPPES registry on August 23, 2019.

Where is Chiro One Wellness Center Of Evergreen Park LLC located?

Chiro One Wellness Center Of Evergreen Park LLC is located at 9715 S Western Ave, Chicago, IL 60643. The listed phone number is (630) 468-1824.

What is Chiro One Wellness Center Of Evergreen Park LLC's specialty?

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

Is Chiro One Wellness Center Of Evergreen Park LLC enrolled in Medicare?

Yes. Chiro One Wellness Center Of Evergreen Park LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chiro One Wellness Center Of Evergreen Park LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Chiro One Wellness Center Of Evergreen Park LLC. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Chiro One Wellness Center Of Evergreen Park LLC was last updated on August 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.