MEDICARE: KELLY CHIROPRACTIC AND WELLNESS CENTER S.C.

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	038.007892	IL

General Provider Information

NPI Number	:	1871736801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KELLY CHIROPRACTIC AND WELLNESS CENTER S.C.

Provider Business Mailing Address
First Line	:	1018 N CALIFORNIA AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-3408
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1018 N CALIFORNIA AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-3408
Country	:	US
Telephone Number	:	773-772-0007
Fax Number	:

Authorized Official
Title or Position	:	CLINIC DIRECTOR
Name	:	DR. SEAN BUSHNELL
Credential	:
Telephone Number	:	773-772-0007

Provider Enumeration Date	:	04/07/2009
Last Update Date	:	04/07/2009

Similar Medicare Providers

1184754491 — DR. SEAN BUSHNELL D.C.
Practice Location Address:

1018 N CALIFORNIA AVE
CHICAGO, IL
60622-3408

Practice Phone: 773-772-0007
Practice Fax:

1932338092 — MS. NORMA JOAN MILLER LCPC, RDDP
Practice Location Address:

3950 N LAKE SHORE DR , APT. 1206B
CHICAGO, IL
60613-3408

Practice Phone: 773-883-1452
Practice Fax: 847-455-0744

1154669091 — TAMMY PHAM D.C.
Practice Location Address:

2322 N COMMONWEALTH AVE APT 510
CHICAGO, IL
60614-3408

Practice Phone: 260-413-5044
Practice Fax:

1386062214 — I AM ABLE CENTER FOR FAMILY DEVELOPMENT
Practice Location Address:

3408 W ROOSEVELT RD
CHICAGO, IL
60624-4338

Practice Phone: 773-826-2929
Practice Fax: 773-826-2966

1255714523 — CAROLYN LEACH M.A.
Practice Location Address:

7030 N OAKLEY AVE
CHICAGO, IL
60645-3408

Practice Phone: 608-769-3313
Practice Fax:

1366817017 — ENGLEWOOD COMMUNITY CONNECTION OUTREACH
Practice Location Address:

7326 S EXCHANGE AVE
CHICAGO, IL
60649-3408

Practice Phone: 773-885-2974
Practice Fax:

Directions to “KELLY CHIROPRACTIC AND WELLNESS CENTER S.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.