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Organization
CHIRO ONE WELLNESS CENTER OF EAST HYDE PARK LLC
Active
Organization
CHIRO ONE WELLNESS CENTER OF EAST HYDE PARK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM WANG (COO)
(630) 468-1824
Entity
Organization
Contact information
Practice address
1634 E 53RD ST, STE A, CHICAGO, IL 60615-4384
(630) 468-1824
(630) 701-1007
Mailing address
2625 BUTTERFIELD RD, STE 301N, OAK BROOK, IL 60523-1234
(630) 468-1824
(630) 701-1007
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009501
IL
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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