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Organization
WEST SUBURBAN WELLNESS OF OAK BROOK, LLC.
Active
Organization
WEST SUBURBAN WELLNESS OF OAK BROOK, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY CHARLES WESELAK D.C. (PRESIDENT)
(630) 629-9500
Entity
Organization
Contact information
Practice address
1100 JORIE BLVD STE 318, OAK BROOK, IL 60523-2242
(630) 629-9500
Mailing address
1100 JORIE BLVD STE 318, OAK BROOK, IL 60523-2242
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002232693
BCBS
IL
01
—
P00416153
RAILROAD MEDICARE
IL
Enumeration date
09/12/2018
Last updated
10/30/2018
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