| Active Wellness, Llc | |
|
4555 N Lincoln Ave, Chicago, IL 60625-2102 | |
| (773) 328-8153 | |
| Not Available |
| Full Name | Active Wellness, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4555 N Lincoln Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902162662 | NPI | - | NPPES |
| Provider Name | Hovig Vartanian |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1215016134 PECOS PAC ID: 5193700649 Enrollment ID: I20040621000449 |
| Provider Name | Todd K Roach |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043323132 PECOS PAC ID: 4789640764 Enrollment ID: I20041202000294 |
| Provider Name | Richard H Valdez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679629240 PECOS PAC ID: 8325096993 Enrollment ID: I20050111000043 |
| Provider Name | Dean P Cherniak |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497804645 PECOS PAC ID: 5597719781 Enrollment ID: I20050310000387 |
| Provider Name | Danielle Dever |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760598775 PECOS PAC ID: 3476577925 Enrollment ID: I20060123000970 |
| Provider Name | Robert L Richart |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144302456 PECOS PAC ID: 3476555616 Enrollment ID: I20070201000094 |
| Provider Name | Adam M Bruene |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932431210 PECOS PAC ID: 7214061134 Enrollment ID: I20100813000950 |
| Provider Name | Ryan Dorough |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942535299 PECOS PAC ID: 4981889201 Enrollment ID: I20110502000746 |
| Provider Name | Raqaq A Alebiosu |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1568731081 PECOS PAC ID: 0547401333 Enrollment ID: I20130719000533 |
| Provider Name | Staci R Ahrens |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891838777 PECOS PAC ID: 2264663632 Enrollment ID: I20140327001839 |
| Provider Name | Marcus Steward |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598102238 PECOS PAC ID: 5395061220 Enrollment ID: I20150311001772 |
| Provider Name | Caitlin Painchaud |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538585864 PECOS PAC ID: 3971818923 Enrollment ID: I20150819008825 |
| Provider Name | Nadrine Omar |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902253248 PECOS PAC ID: 0143515312 Enrollment ID: I20160826001442 |
| Provider Name | Jason G Rejano |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770924276 PECOS PAC ID: 1759676802 Enrollment ID: I20160829000689 |
| Provider Name | Joseph L Glowiak |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265985303 PECOS PAC ID: 0244510550 Enrollment ID: I20161202000948 |
| Provider Name | Jeffrey Mitchell Gelband |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417487794 PECOS PAC ID: 0941570204 Enrollment ID: I20170719000579 |
| Provider Name | Elisabeth M Toth |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255814265 PECOS PAC ID: 8224370408 Enrollment ID: I20190509000487 |
| Provider Name | Katherine Jean Emrich |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1881211837 PECOS PAC ID: 3971929670 Enrollment ID: I20200812001066 |
| Provider Name | Jessica Lauren Pierce |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841818762 PECOS PAC ID: 0244658623 Enrollment ID: I20200916003173 |
| Provider Name | David F Moore |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306440276 PECOS PAC ID: 0547676462 Enrollment ID: I20210301001714 |
| Provider Name | Sarah Marie Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598391641 PECOS PAC ID: 0648687137 Enrollment ID: I20210330000534 |
| Provider Name | Anthony G Kelley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508343948 PECOS PAC ID: 1759785546 Enrollment ID: I20210802000077 |
| Provider Name | Linda Reedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598430258 PECOS PAC ID: 2860898772 Enrollment ID: I20210901000636 |
| Provider Name | Bryan Nicholas Flammini |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558035261 PECOS PAC ID: 8628457678 Enrollment ID: I20220621003197 |
| Provider Name | Kelsie Liegh Herrera |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518563659 PECOS PAC ID: 3173904810 Enrollment ID: I20220713000934 |
| Provider Name | Arthur Monaco |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396334231 PECOS PAC ID: 3779964424 Enrollment ID: I20220713001067 |
| Provider Name | Ronald Bouffard |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922051473 PECOS PAC ID: 5193755114 Enrollment ID: I20220714000762 |
| Provider Name | Alexis Mikrut |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043779598 PECOS PAC ID: 2062893498 Enrollment ID: I20220718001024 |
| Provider Name | Brennan Mckinstry Martin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801463252 PECOS PAC ID: 0941682603 Enrollment ID: I20220728000862 |
| Provider Name | Alexandra Mackillop |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1588270227 PECOS PAC ID: 6901288018 Enrollment ID: I20220806000275 |
| Provider Name | Nickolas W Severino |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376207795 PECOS PAC ID: 8325422652 Enrollment ID: I20220905000258 |
| Provider Name | Shane Bruni |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285330886 PECOS PAC ID: 6800269044 Enrollment ID: I20230308002574 |
| Provider Name | Hailey Logan Spencley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265219729 PECOS PAC ID: 1456703396 Enrollment ID: I20240117000523 |
| Provider Name | Reid Barrett |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104514652 PECOS PAC ID: 3678926292 Enrollment ID: I20240131001401 |
| Provider Name | Nimota-lai Sulaiman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1356123384 PECOS PAC ID: 3173067808 Enrollment ID: I20240704000409 |
| Provider Name | Nicole Tatsuguchi-ongcal |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982440087 PECOS PAC ID: 4082153812 Enrollment ID: I20240826000737 |
| Provider Name | Kajal M Patel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679310536 PECOS PAC ID: 1153860994 Enrollment ID: I20240826001175 |
| Provider Name | Justin Christopher Campos |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497463855 PECOS PAC ID: 1759820418 Enrollment ID: I20240826002107 |
| Provider Name | Marina Phillips |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033725999 PECOS PAC ID: 3678986122 Enrollment ID: I20240827002313 |
| Provider Name | Angelica Christine Clark |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417734385 PECOS PAC ID: 8224577853 Enrollment ID: I20240828000087 |
| Provider Name | Courtney Sayre |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1568224848 PECOS PAC ID: 7517406671 Enrollment ID: I20240903003516 |
| Provider Name | Colton Bill Hoffenbacker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518411560 PECOS PAC ID: 9739477605 Enrollment ID: I20240904002994 |
| Provider Name | Zoann Alexis Mader |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720569866 PECOS PAC ID: 8426308404 Enrollment ID: I20240906000015 |
| Provider Name | Akilah N Spencer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1386045953 PECOS PAC ID: 7416277256 Enrollment ID: I20240906001675 |
| Provider Name | Christopher A Douglas |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285273433 PECOS PAC ID: 2062833817 Enrollment ID: I20240906002263 |
| Provider Name | Blake Butler |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114463270 PECOS PAC ID: 4183164908 Enrollment ID: I20240909000100 |
| Provider Name | Nickcold Savoir Nicholson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205581782 PECOS PAC ID: 3779023478 Enrollment ID: I20240909003689 |
| Provider Name | Joshua Elliott Button |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124880406 PECOS PAC ID: 2365982097 Enrollment ID: I20240910000137 |
| Provider Name | Timothy Patrick Fetter |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801178298 PECOS PAC ID: 7810164647 Enrollment ID: I20240910001582 |
| Provider Name | Carrie Santore |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669180352 PECOS PAC ID: 2264973841 Enrollment ID: I20240923003198 |
| Provider Name | Remington Rodela |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932782323 PECOS PAC ID: 7719418961 Enrollment ID: I20240930001657 |
| Provider Name | Michael Alden |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376535633 PECOS PAC ID: 0042261208 Enrollment ID: I20241024003581 |
| Provider Name | James W Mattison |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538120878 PECOS PAC ID: 1850342221 Enrollment ID: I20241029002956 |
| Provider Name | Priyanka Narkhede |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851012538 PECOS PAC ID: 1254864234 Enrollment ID: I20241029003677 |
| Provider Name | Joshua Cole Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760265722 PECOS PAC ID: 8325572415 Enrollment ID: I20241112003132 |
| Provider Name | Aireal Keefer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467274043 PECOS PAC ID: 2860926755 Enrollment ID: I20241114003040 |
| Provider Name | Scott Lyman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104644277 PECOS PAC ID: 3072049865 Enrollment ID: I20241203003328 |
| Provider Name | Jo Nell Marie Cool |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497221733 PECOS PAC ID: 0941737258 Enrollment ID: I20241227002082 |
| Provider Name | Anne E Palovich |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1871142448 PECOS PAC ID: 7113352808 Enrollment ID: I20250102002151 |
| Provider Name | Megan Cook |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1326529967 PECOS PAC ID: 9830440478 Enrollment ID: I20250121003159 |
| Provider Name | Kenice Anne Broughman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1215944855 PECOS PAC ID: 6002809209 Enrollment ID: I20250122001267 |
| Provider Name | Zahra Jafry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194381533 PECOS PAC ID: 9931577251 Enrollment ID: I20250204002691 |
| Provider Name | Jocelyn Collazo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588477160 PECOS PAC ID: 7012437700 Enrollment ID: I20250225002367 |
| Provider Name | Sean Michael Alexander |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619778354 PECOS PAC ID: 4284157694 Enrollment ID: I20250326002681 |
| Provider Name | Zachary Greenberg |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992502710 PECOS PAC ID: 7214451558 Enrollment ID: I20250408003759 |
| Provider Name | Eric Choi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013957596 PECOS PAC ID: 5890759112 Enrollment ID: I20250410000919 |
| Provider Name | Faith Schumann |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1831246040 PECOS PAC ID: 2567568637 Enrollment ID: I20250422000095 |
| Provider Name | Sincere Hope Santiago |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790244309 PECOS PAC ID: 5890206338 Enrollment ID: I20250612003294 |
| Mailing Address | Practice Location Address |
|---|---|
| Active Wellness, Llc 4555 N Lincoln Ave, Chicago, IL 60625-2102 Ph: (773) 328-8153 | Active Wellness, Llc 4555 N Lincoln Ave, Chicago, IL 60625-2102 Ph: (773) 328-8153 |
Knox Integrated Health Services, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 845 N Michigan Ave, 983w, Chicago, IL 60611 Phone: 312-654-5486 Fax: 312-654-2175 | |
The Chicago Body Works, S.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 3505 N Ashland Ave, Chicago, IL 60657 Phone: 773-248-4229 | |
Dr. Mahmoud S Lotfi, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3139 W 111th St, Chicago, IL 60655 Phone: 312-944-4653 | |
Renew Chiropractic Health And Wellness Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 935 N Honore St Apt 2r, Chicago, IL 60622 Phone: 563-580-5171 | |
Dr. Jee Hoon Kim, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2317 W Chicago Ave, 2 Fl., Chicago, IL 60622 Phone: 773-252-9740 Fax: 773-252-9746 | |
Dr. Dylan P Drynan, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1600 S Indiana Ave, Unit B, Chicago, IL 60616 Phone: 312-922-9868 Fax: 312-922-9869 | |
David Ross Anderson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2105 W Division St, Chicago, IL 60622 Phone: 773-342-3221 Fax: 773-342-3836 |