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ACTIVE WELLNESS, LLC
NPI 1902162662
Chiropractor in Chicago, IL

Active since April 06, 2012
4555 N LINCOLN AVE, CHICAGO, IL 60625(773) 328-8153 Get Directions Write a Review

NPPES record last updated: February 14, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Active Wellness, Llc NPPES

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

ACTIVE WELLNESS, LLC (NPI 1902162662) is a healthcare organization registered as a chiropractor in Chicago, Illinois and active in the NPI registry since April 2012. The organization lists Andrew Ingley, General Manager, as its authorized official.

NPPES Registry Identity

NPI1902162662
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameACTIVE WELLNESS, LLC
Location Address4555 N LINCOLN AVEChicago, IL 60625-2102
Mailing Address4555 N Lincoln AveChicago, IL 60625-2102 · (773) 328-8153
Phone(773) 328-8153
Organization SubpartNo
Authorized OfficialAndrew IngleyGeneral Manager · (813) 220-9113
Enumeration DateApril 6, 2012
Last NPPES UpdateFebruary 14, 2014
✔ NPI 1902162662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 24800594
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.
Also ListedChiropractor · NutritionTaxonomy 111NN1001X · License 24800594 (IL)
Also ListedChiropractor · Pediatric ChiropractorTaxonomy 111NP0017X · License 24800594 (IL)
Also ListedAcupuncturistTaxonomy 171100000X
4555 N LINCOLN AVE, Chicago, IL 60625
Open in Google Maps ↗

Other Identifiers 1

Medicare PINIL8494IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Active Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

60

Medicare enrollment records show 60 clinicians reassign Medicare billing to Active Wellness, LLC, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 28 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Chiropractic56
Nurse Practitioner3
Family Practice1

Nearest to this location (20)

See all 60
Sean Alexander, DC
Chiropractic
NPI 1619778354
4555 N LINCOLN AVE
Chicago, IL 60625
(773) 832-5896
Same address
Joshua Button, DC
Chiropractic
NPI 1124880406
4555 N LINCOLN AVE
Chicago, IL 60625
(773) 328-8153
✔ Accepts MedicareSame address
Angelica Clark, DC
Chiropractic
NPI 1417734385
4555 N LINCOLN AVE
Chicago, IL 60625
(773) 598-4387
Same address
Jo Nell Cool, DC, ND, CACCP
Chiropractic
NPI 1497221733
4555 N LINCOLN AVE
Chicago, IL 60625
(773) 328-8153
Same address
Aireal Keefer
Chiropractic
NPI 1467274043
4555 N LINCOLN AVE
Chicago, IL 60625
(773) 328-8153
✔ Accepts MedicareSame address
Scott Lyman, DC
Chiropractic
NPI 1104644277
4555 N LINCOLN AVE
Chicago, IL 60625
(773) 328-8153
✔ Accepts MedicareSame address
Kajal Patel, DC
Chiropractic
NPI 1679310536
4555 N LINCOLN AVE
Chicago, IL 60625
(773) 328-8153
✔ Accepts MedicareSame address
Jessica Pierce, DC
Chiropractic
NPI 1841818762
4555 N LINCOLN AVE
Chicago, IL 60625
(708) 723-6115
Same address
Courtney Sayre, DC
Chiropractic
NPI 1568224848
4555 N LINCOLN AVE
Chicago, IL 60625
(773) 328-8153
✔ Accepts MedicareSame address
Hailey Spencley, DC
Chiropractic
NPI 1265219729
4555 N LINCOLN AVE
Chicago, IL 60625
(847) 791-7012
✔ Accepts MedicareSame address
Nimota-Lai Sulaiman, DC
Chiropractic
NPI 1356123384
4555 N LINCOLN AVE
Chicago, IL 60625
(773) 328-8153
✔ Accepts MedicareSame address
Nicole Tatsuguchi-Ongcal, DC
Chiropractic
NPI 1982440087
3514 N SOUTHPORT AVE
Chicago, IL 60657
(773) 248-2544
✔ Accepts Medicare1.7 mi
Joshua Johnson, DC
Chiropractic
NPI 1760265722
3130 N LAKE SHORE DR APT 1405
Chicago, IL 60657
(814) 592-8352
✔ Accepts Medicare3.0 mi
Adam Bruene, D.C.
Chiropractic
NPI 1932431210
2258 W GRAND AVE
Chicago, IL 60612
(773) 661-2070
✔ Accepts Medicare5.1 mi
Marcus Steward, DC
Chiropractic
NPI 1598102238
1954 DEMPSTER ST
Evanston, IL 60202
(847) 440-5056
✔ Accepts Medicare5.3 mi
Reid Barrett
Chiropractic
NPI 1104514652
225 W HUBBARD ST STE 302
Chicago, IL 60654
(773) 328-8153
5.8 mi
Katherine Emrich, DC
Chiropractic
NPI 1881211837
225 W HUBBARD ST STE 302
Chicago, IL 60654
(773) 598-4387
✔ Accepts Medicare5.8 mi
Joseph Glowiak, DC, MS
Chiropractic
NPI 1265985303
225 W HUBBARD ST STE 302
Chicago, IL 60654
(773) 598-4387
5.8 mi
Sarah Murphy, FNP
Nurse Practitioner
NPI 1598391641
111 W JACKSON BLVD STE 1700
Chicago, IL 60604
(888) 731-8994
✔ PECOS6.6 mi
Brandy Prince
Nurse Practitioner
NPI 1578206942
111 W JACKSON BLVD STE 1700
Chicago, IL 60604
(888) 731-8994
✔ PECOS✔ Accepts Medicare6.6 mi
See all 60 clinicians

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 Active Wellness, LLC's NPI number?

The NPI number for Active Wellness, LLC is 1902162662. It was assigned to this organization in the NPPES registry on April 6, 2012.

Where is Active Wellness, LLC located?

Active Wellness, LLC is located at 4555 N Lincoln Ave, Chicago, IL 60625. The listed phone number is (773) 328-8153.

What is Active Wellness, LLC's specialty?

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

Is Active Wellness, LLC enrolled in Medicare?

Yes. Active Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Active Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 60 clinicians in 3 Medicare specialties reassign their Medicare billing to Active Wellness, 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. The largest specialties are Chiropractic (56), Nurse Practitioner (3) and Family Practice (1). Of these, 11 practice at this address and 28 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 Active Wellness, LLC was last updated on February 14, 2014. 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.