MEDICARE: INTEGRATED WELLNESS CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	038-008551	IL

General Provider Information

NPI Number	:	1003352071
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED WELLNESS CENTER

Provider Business Mailing Address
First Line	:	550 N MIDLOTHIAN RD
Second Line	:	SUITE 300
City	:	MUNDELEIN
State	:	IL
Zip	:	60060-1613
Country	:	US
Telephone Number	:	847-445-1178
Fax Number	:	224-778-5491

Provider Business Practice Location Address
First Line	:	550 N MIDLOTHIAN RD
Second Line	:	SUITE 300
City	:	MUNDELEIN
State	:	IL
Zip	:	60060-1613
Country	:	US
Telephone Number	:	847-445-1178
Fax Number	:	224-778-5491

Authorized Official
Title or Position	:	DOCTOR/OWNER
Name	:	DR. CHRISTOPHER JAMES HOKLAS
Credential	:	D.C.
Telephone Number	:	847-445-1178

Provider Enumeration Date	:	01/13/2017
Last Update Date	:	01/13/2017

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Directions to “INTEGRATED WELLNESS CENTER ” Practice Location

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