MEDICARE: WELLOCITY

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	038011498	IL

General Provider Information

NPI Number	:	1801123252
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLOCITY

Provider Business Mailing Address
First Line	:	120 W GOLF RD
Second Line	:	SUITE 209
City	:	SCHAUMBURG
State	:	IL
Zip	:	60195-5179
Country	:	US
Telephone Number	:	847-519-0200
Fax Number	:	847-519-0207

Provider Business Practice Location Address
First Line	:	120 W GOLF RD
Second Line	:	SUITE 209
City	:	SCHAUMBURG
State	:	IL
Zip	:	60195-5179
Country	:	US
Telephone Number	:	847-519-0200
Fax Number	:	847-519-0207

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. ERIN KRISTINA STELLER
Credential	:	DC
Telephone Number	:	847-519-0200

Provider Enumeration Date	:	11/05/2009
Last Update Date	:	11/05/2009

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Directions to “WELLOCITY ” Practice Location

Language	Start Address	Practice Location

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