Active Wellness, Llc - Medicare Chiropractor in Chicago, IL

Active Wellness, Llc is a medicare enrolled "Chiropractor" provider in Chicago, Illinois. Their current practice location is 4555 N Lincoln Ave, Chicago, Illinois. You can reach out to their office (for appointments etc.) via phone at (773) 328-8153.

Active Wellness, Llc is licensed to practice in Illinois (license number 24800594) and it also participates in the medicare program. Active Wellness, Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1902162662.

Contact Information

Active Wellness, Llc
4555 N Lincoln Ave,
Chicago, IL 60625-2102
(773) 328-8153
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameActive Wellness, Llc
TypeFacility
SpecialityChiropractor
Location4555 N Lincoln Ave, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902162662
  • Provider Enumeration Date: 04/06/2012
  • Last Update Date: 02/14/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3072752864
  • Enrollment ID: O20130627000369

Medical Identifiers

Medical identifiers for Active Wellness, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902162662NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 24800594 (Illinois)Primary
111NN1001XChiropractor - Nutrition 24800594 (Illinois)Secondary
111NP0017XChiropractor - Pediatric Chiropractor 24800594 (Illinois)Secondary
171100000XAcupuncturist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Active Wellness, Llc acts as a billing entity for following providers:
Provider NameRichard H Valdez
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1679629240
PECOS PAC ID: 8325096993
Enrollment ID: I20050111000043
Provider NameAdam M Bruene
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1932431210
PECOS PAC ID: 7214061134
Enrollment ID: I20100813000950
Provider NameRyan Dorough
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1942535299
PECOS PAC ID: 4981889201
Enrollment ID: I20110502000746
Provider NameRaqaq A Alebiosu
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1568731081
PECOS PAC ID: 0547401333
Enrollment ID: I20130719000533
Provider NameStaci R Ahrens
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1891838777
PECOS PAC ID: 2264663632
Enrollment ID: I20140327001839
Provider NameMarcus Steward
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1598102238
PECOS PAC ID: 5395061220
Enrollment ID: I20150311001772
Provider NameCaitlin Painchaud
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1538585864
PECOS PAC ID: 3971818923
Enrollment ID: I20150819008825
Provider NameNadrine Omar
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1902253248
PECOS PAC ID: 0143515312
Enrollment ID: I20160826001442
Provider NameJason G Rejano
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1770924276
PECOS PAC ID: 1759676802
Enrollment ID: I20160829000689
Provider NameJoseph L Glowiak
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1265985303
PECOS PAC ID: 0244510550
Enrollment ID: I20161202000948
Provider NameJeffrey Mitchell Gelband
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1417487794
PECOS PAC ID: 0941570204
Enrollment ID: I20170719000579
Provider NameMary Elizabeth Kikilas
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1356840185
PECOS PAC ID: 9335400233
Enrollment ID: I20180308002278
Provider NameElisabeth M Toth
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1255814265
PECOS PAC ID: 8224370408
Enrollment ID: I20190509000487
Provider NameKatherine Jean Emrich
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1881211837
PECOS PAC ID: 3971929670
Enrollment ID: I20200812001066
Provider NameJessica Lauren Pierce
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1841818762
PECOS PAC ID: 0244658623
Enrollment ID: I20200916003173
Provider NameDavid F Moore
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1306440276
PECOS PAC ID: 0547676462
Enrollment ID: I20210301001714
Provider NameTheodore Joseph D'amico
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1376202903
PECOS PAC ID: 5496134579
Enrollment ID: I20220621000403
Provider NameBryan Nicholas Flammini
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1558035261
PECOS PAC ID: 8628457678
Enrollment ID: I20220621003197
Provider NameKelsie Liegh Herrera
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1518563659
PECOS PAC ID: 3173904810
Enrollment ID: I20220713000934
Provider NameArthur Monaco
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1396334231
PECOS PAC ID: 3779964424
Enrollment ID: I20220713001067
Provider NameRonald Bouffard
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1922051473
PECOS PAC ID: 5193755114
Enrollment ID: I20220714000762
Provider NameAlexis Mikrut
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1043779598
PECOS PAC ID: 2062893498
Enrollment ID: I20220718001024
Provider NameBrennan Mckinstry Martin
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1801463252
PECOS PAC ID: 0941682603
Enrollment ID: I20220728000862
Provider NameAlexandra Mackillop
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1588270227
PECOS PAC ID: 6901288018
Enrollment ID: I20220806000275
Provider NameHailey Logan Spencley
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1265219729
PECOS PAC ID: 1456703396
Enrollment ID: I20240117000523
Provider NameReid Barrett
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1104514652
PECOS PAC ID: 3678926292
Enrollment ID: I20240131001401

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Active Wellness, Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.