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Organization
CHIRO ONE WELLNESS CENTER OF ST. CHARLES LLC
Active
Organization
CHIRO ONE WELLNESS CENTER OF ST. CHARLES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM WANG DC (COO)
(630) 468-1824
Entity
Organization
Contact information
Practice address
546 S RANDALL RD STE F, ST CHARLES, IL 60174-5914
(630) 443-0400
(630) 443-0456
Mailing address
2625 BUTTERFIELD RD, SUITE 301N, OAK BROOK, IL 60523-1234
(630) 468-1824
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04532305
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/11/2006
Last updated
10/24/2017
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