# CHIRO ONE WELLNESS CENTER OF PLEASANT PRAIRIE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801408687
- **Authorized official:** AMY MORAN (CREDENTIALING MANAGER)
- **Authorized official phone:** (630) 229-4430

## Contact information

- **Practice address:** 9755 76TH ST STE 730, PLEASANT PRAIRIE, WI 53158-1925
- **Practice address phone:** (630) 468-1824
- **Mailing address:** 814 COMMERCE DR STE 300, OAK BROOK, IL 60523-8823
- **Mailing address phone:** (630) 468-1824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2020
- **Last updated:** 03/27/2026