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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: August 02, 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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANNEMARIE FILISKY LECLAIR D.C.
Chiropractor
4555 N LINCOLN AVE
CHICAGO, IL 60625
Cook County (773) 598-4387
KELLY KIRLES L.AC
Acupuncturist
4555 N LINCOLN AVE
CHICAGO, IL 60625
Cook County (773) 273-6734
SCOTT LYMAN DC
Chiropractor
4555 N LINCOLN AVE
CHICAGO, IL 60625
Cook County (773) 328-8153
DR. JOSHUA ELLIOTT BUTTON DC
Chiropractor
4555 N LINCOLN AVE
CHICAGO, IL 60625
Cook County (773) 328-8153
PATRYCJA MARIA DANIEL LAC
Acupuncturist
4555 N LINCOLN AVE
CHICAGO, IL 60625
Cook County (773) 598-4387
DR. KATELYN GIANCOLA D.C.
Chiropractor
4555 N LINCOLN AVE
CHICAGO, IL 60625
Cook County (773) 328-8153
VITALIY KOPYTKO L.AC
Acupuncturist
4555 N LINCOLN AVE
CHICAGO, IL 60625
Cook County (773) 273-6736
DR. KENICE ANNE BROUGHMAN D.C.
Chiropractor (Nutrition)
4555 N LINCOLN AVE
CHICAGO, IL 60625
Cook County (386) 763-2763

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.

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.