Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
WELLNESS REVOLUTION CHIROPRACTIC & ACUPUNCTURE CENTER
Active
Organization
WELLNESS REVOLUTION CHIROPRACTIC & ACUPUNCTURE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY BREITBACH DC (PRESIDENT)
(847) 869-1773
Entity
Organization
Contact information
Practice address
1117 EMERSON ST, EVANSTON, IL 60201
(847) 869-1773
(847) 869-2733
Mailing address
1117 EMERSON ST, EVANSTON, IL 60201-3131
(847) 869-1773
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063920316
GROUP NPI
IL
01
—
1255400453
NPI- PERSONSAL
IL
Enumeration date
01/08/2007
Last updated
06/21/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up