MEDICARE: HOLISTIC WELLNESS CHICAGO LLC

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	111NI0900X	Internist Chiropractor

General Provider Information

NPI Number	:	1518810779
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLISTIC WELLNESS CHICAGO LLC

Provider Business Mailing Address
First Line	:	4519 N POTAWATOMIE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60656-4139
Country	:	US
Telephone Number	:	847-494-8684
Fax Number	:

Provider Business Practice Location Address
First Line	:	4757 HOWARD ST APT 107
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60076-3783
Country	:	US
Telephone Number	:	847-494-8684
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. ELISABETH TOTH
Credential	:	DC
Telephone Number	:	847-494-8684

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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