The Wellness Way Lake Forest PLLC
Chiropractor in Lake Bluff, IL. Organization (NPI-2).
NPI number1104764612
StatusActive
Last updated in NPPESMar 24, 2026
Details
- NPI
- 1104764612
- Entity type
- Organization (NPI-2)
- Legal business name
- The Wellness Way Lake Forest PLLC
- Organization subpart
- No
- Enumeration date
- Mar 24, 2026
- Certification date
- Mar 24, 2026
- Last updated
- Mar 24, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
100 N Waukegan Rd Ste 103Lake Bluff, IL 60044-1600
Phone 847-500-3201
Mailing address
100 N Waukegan Rd Ste 103Lake Bluff, IL 60044-1600
Phone 847-500-3201 · Fax 847-500-3202
Authorized official
Paige Enwright
Owner/Chirpractor
8475003201
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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