Nickolas William Severino, D.C.
NPI 1376207795ActiveIndividual· Chiropractor· Park Ridge, IL
Chiropractor (D.C.) with Active Wellness LLC, practicing in Park Ridge, Illinois. Enrolled in Medicare as practitioner - chiropractic.
Overview
| NPI | 1376207795 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.C. |
| Sole proprietor | No |
| NPI issued | Oct 22, 2021 |
| Last updated in NPPES | Aug 19, 2024 |
| Certified by provider | Aug 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 038.013758 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Chiropractic (IL) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Chiropractic |
Medical group
- Active Wellness LLCChicago, IL · 21 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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