# WEST SUBURBAN WELLNESS OF OAK BROOK, LLC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316420763
- **Authorized official:** DR. TIMOTHY CHARLES WESELAK D.C. (PRESIDENT)
- **Authorized official phone:** (630) 629-9500

## Contact information

- **Practice address:** 1100 JORIE BLVD STE 318, OAK BROOK, IL 60523-2242
- **Practice address phone:** (630) 629-9500
- **Mailing address:** 1100 JORIE BLVD STE 318, OAK BROOK, IL 60523-2242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/12/2018
- **Last updated:** 10/30/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0002232693 | BCBS | IL |
| 01 | — | P00416153 | RAILROAD MEDICARE | IL |