Chiro One Wellness Center Of Crystal Lake Sc
Chiropractor in Crystal Lake, IL. Organization (NPI-2).
NPI number1124155098
StatusActive
Last updated in NPPESOct 30, 2026
Details
- NPI
- 1124155098
- Entity type
- Organization (NPI-2)
- Legal business name
- Chiro One Wellness Center Of Crystal Lake Sc
- Organization subpart
- No
- Enumeration date
- Feb 27, 2007
- Certification date
- Oct 30, 2026
- Last updated
- Oct 30, 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
435 Angela Ln Ste 12Crystal Lake, IL 60014-1074
Phone 815-301-4200 · Fax 815-301-4205
Mailing address
814 Commerce Dr Ste 300Oak Brook, IL 60523-8823
Phone 630-468-1824
Authorized official
Chris Roeh
Evp, Cfo
6304681824
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All 55 Chiropractor providers in Crystal Lake · All 1,922 providers in Crystal Lake
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