Provider Demographics
NPI:1245787753
Name:FREEDOM WELLNESS CENTERS, LLC
Entity Type:Organization
Organization Name:FREEDOM WELLNESS CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:FORGERON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-289-2225
Mailing Address - Street 1:1732 W ALGONQUIN RD
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-1573
Mailing Address - Country:US
Mailing Address - Phone:630-289-2225
Mailing Address - Fax:630-429-9730
Practice Address - Street 1:1732 W ALGONQUIN RD
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60192-1573
Practice Address - Country:US
Practice Address - Phone:630-289-2225
Practice Address - Fax:630-429-9730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038008415111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Multi-Specialty