Provider Demographics
NPI:1811372485
Name:WELLBEING CHIROPRACTIC SC
Entity Type:Organization
Organization Name:WELLBEING CHIROPRACTIC SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IVELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANTCHECHKOVA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:773-775-6510
Mailing Address - Street 1:6774 N NORTHWEST HWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-1275
Mailing Address - Country:US
Mailing Address - Phone:773-775-6510
Mailing Address - Fax:
Practice Address - Street 1:6774 N NORTHWEST HWY
Practice Address - Street 2:SUITE A
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-1275
Practice Address - Country:US
Practice Address - Phone:773-775-6510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-24
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.012694111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty