CHIRO WELLNESS CENTER METRO OF HYDE PARK LLC
NPI 1912209586
Chiropractor in Chicago, IL

Q: What is Chiro Wellness Center Metro Of Hyde Park LLC's specialty?

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

Active since December 02, 2010

1644 E 53RD ST, SUITE A, CHICAGO, IL 60615(773) 332-1123(773) 332-1126 Get Directions Write a Review

NPPES record last updated: October 24, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Chiro Wellness Center Metro Of Hyde Park Llc NPPES

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

CHIRO WELLNESS CENTER METRO OF HYDE PARK LLC (NPI 1912209586) is a healthcare organization registered as a chiropractor in Chicago, Illinois and active in the NPI registry since December 2010. The organization lists Sam Wang, Coo, as its authorized official.

NPPES Registry Identity

NPI1912209586

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameCHIRO WELLNESS CENTER METRO OF HYDE PARK LLC

Location Address1644 E 53RD ST, SUITE AChicago, IL 60615-4210

Mailing Address2625 Butterfield Rd, Ste 301nOak Brook, IL 60523-1234 · (630) 468-1824

Phone(773) 332-1123

Fax(773) 332-1126

Organization SubpartNo

Authorized OfficialSam WangCoo · (630) 468-1824

Enumeration DateDecember 2, 2010

Last NPPES UpdateOctober 24, 2017

✔ NPI 1912209586 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.

1644 E 53RD ST, Chicago, IL 60615

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Chiro Wellness Center Metro Of Hyde Park LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Thomas Macneill-Zimmerman, D.C.

Chiropractic

NPI 1255423372

1644 E 53RD ST SUITE A
Chicago, IL 60615

(773) 322-1123

✔ Accepts MedicareSame address

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 Wellness Center Metro Of Hyde Park LLC's NPI number?

The NPI number for Chiro Wellness Center Metro Of Hyde Park LLC is 1912209586. It was assigned to this organization in the NPPES registry on December 2, 2010.

Where is Chiro Wellness Center Metro Of Hyde Park LLC located?

Chiro Wellness Center Metro Of Hyde Park LLC is located at 1644 E 53rd St Suite A, Chicago, IL 60615. The listed phone number is (773) 332-1123.

What is Chiro Wellness Center Metro Of Hyde Park LLC's specialty?

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

Is Chiro Wellness Center Metro Of Hyde Park LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Chiro Wellness Center Metro Of Hyde Park LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Chiro Wellness Center Metro Of Hyde 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. 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 Wellness Center Metro Of Hyde Park LLC was last updated on October 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.