Healthcare Provider Details

I. General information

NPI: 1205630472
Provider Name (Legal Business Name): 606 HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2025
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

158 BARTLETT PLZ
BARTLETT IL
60103-4234
US

IV. Provider business mailing address

158 BARTLETT PLZ
BARTLETT IL
60103-4234
US

V. Phone/Fax

Practice location:
  • Phone: 630-830-2121
  • Fax: 630-830-2195
Mailing address:
  • Phone: 630-830-2121
  • Fax: 630-830-2195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JASON LEE SMITH
Title or Position: OWNER/MANAGER
Credential: D.C.
Phone: 630-830-2121