NPI 1790043768 · live from the CMS NPI Registry
Action Wellness LLC
Chiropractor in Elmhurst, IL. National Provider Identifier 1790043768, active.
NPI record
| NPI | 1790043768 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 110 W Park Ave Ste C, Elmhurst, IL 60126 |
| Practice phone | 832-978-0835 |
| Enumerated | April 27, 2012 |
| Last updated | April 27, 2012 |
| Authorized official | Gabriel Cole, Owner-Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 038.012028 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.