CHIRO ONE WELLNESS CENTER OF LIBERTYVILLE LLC
NPI 1942443577
Chiropractor in Libertyville, IL

Active since April 13, 2009
149 BUCKLEY RD, LIBERTYVILLE, IL 60048(224) 207-4180(224) 207-4185 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 Libertyville Llc NPPES

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

CHIRO ONE WELLNESS CENTER OF LIBERTYVILLE LLC (NPI 1942443577) is a healthcare organization registered as a chiropractor in Libertyville, Illinois and active in the NPI registry since April 2009. The organization lists Sam Wang, Coo, as its authorized official.

NPPES Registry Identity

NPI1942443577
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCHIRO ONE WELLNESS CENTER OF LIBERTYVILLE LLC
Location Address149 BUCKLEY RDLibertyville, IL 60048-1400
Mailing Address2625 Butterfield Rd, Ste 301nOak Brook, IL 60523-1234 · (630) 229-4430
Fax(224) 207-4185
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 1942443577 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.
149 BUCKLEY RD, Libertyville, IL 60048

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 Libertyville 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 One Wellness Center Of Libertyville LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1053734053
149 BUCKLEY RD
Libertyville, IL 60048
(224) 207-4180
✔ 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 One Wellness Center Of Libertyville LLC's NPI number?

The NPI number for Chiro One Wellness Center Of Libertyville LLC is 1942443577. It was assigned to this organization in the NPPES registry on April 13, 2009.

Where is Chiro One Wellness Center Of Libertyville LLC located?

Chiro One Wellness Center Of Libertyville LLC is located at 149 Buckley Rd, Libertyville, IL 60048. The listed phone number is (224) 207-4180.

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

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

Is Chiro One Wellness Center Of Libertyville LLC enrolled in Medicare?

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

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

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Chiro One Wellness Center Of Libertyville 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 One Wellness Center Of Libertyville 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.