Libertyville Wellness Group, Inc
NPI 1093090367ActiveOrganization· Chiropractor· Libertyville, IL
Chiropractor in Libertyville, Illinois, registered in NPPES in October 2011. The authorized official on file is Brian Robert Kelchen, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093090367 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 18, 2011 |
| Last updated in NPPES | Nov 6, 2026 |
| Certified by provider | Nov 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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