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CHIRO ONE WELLNESS CENTER OF ROUND LAKE BEACH LLC
NPI 1588807150
Chiropractor in Round Lake Beach, IL

Active since April 13, 2009
1936 N IL RT 83, UNIT 109, ROUND LAKE BEACH, IL 60073(847) 543-6957(847) 543-7217 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 8, 2022, Oct 24, 2017 (2 updates tracked since 2017).

About Chiro One Wellness Center Of Round Lake Beach Llc NPPES

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

CHIRO ONE WELLNESS CENTER OF ROUND LAKE BEACH LLC (NPI 1588807150) is a healthcare organization registered as a chiropractor in Round Lake Beach, Illinois and active in the NPI registry since April 2009. The organization lists Sam Wang, Coo, as its authorized official.

NPPES Registry Identity

NPI1588807150
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCHIRO ONE WELLNESS CENTER OF ROUND LAKE BEACH LLC
Location Address1936 N IL RT 83, UNIT 109Round Lake Beach, IL 60073
Mailing Address2625 Butterfield Rd, Ste 301nOak Brook, IL 60523-1234 · (630) 229-4430
Phone(847) 543-6957
Fax(847) 543-7217
Organization SubpartNo
Authorized OfficialSam WangCoo · (630) 229-4430
Enumeration DateApril 13, 2009
Last NPPES UpdateJune 8, 20222 updates tracked since enumeration
NPPES CertifiedJune 8, 2022
✔ NPI 1588807150 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.
1936 N IL RT 83, Round Lake Beach, IL 60073
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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 Round Lake Beach 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 Round Lake Beach LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Tyler Zoesch, DC
Chiropractic
NPI 1053734053
149 BUCKLEY RD
Libertyville, IL 60048
(224) 207-4180
✔ Accepts Medicare7.6 mi
Mustafa Syed
Chiropractic
NPI 1184168718
2210 CAMDEN CT
Oak Brook, IL 60523
(630) 468-1824
✔ Accepts Medicare37 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 Round Lake Beach LLC's NPI number?

The NPI number for Chiro One Wellness Center Of Round Lake Beach LLC is 1588807150. It was assigned to this organization in the NPPES registry on April 13, 2009.

Where is Chiro One Wellness Center Of Round Lake Beach LLC located?

Chiro One Wellness Center Of Round Lake Beach LLC is located at 1936 N Il Rt 83 Unit 109, Round Lake Beach, IL 60073. The listed phone number is (847) 543-6957.

What is Chiro One Wellness Center Of Round Lake Beach LLC's specialty?

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

Is Chiro One Wellness Center Of Round Lake Beach LLC enrolled in Medicare?

Yes. Chiro One Wellness Center Of Round Lake Beach LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chiro One Wellness Center Of Round Lake Beach 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 Round Lake Beach 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 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 Round Lake Beach LLC was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.