# WELLNESS CHICAGO COMPLEMENTARY MEDICAL CENTERS

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

## Provider details

- **NPI number:** 1508157348
- **Authorized official:** DR. NANCY DIANNE DEARINGER D.C. (MEDICAL DIRECTOR)
- **Authorized official phone:** (312) 467-0678

## Contact information

- **Practice address:** 1101 LAKE ST, SUITE 350, OAK PARK, IL 60301-1085
- **Practice address phone:** (312) 467-0678
- **Mailing address:** 820 N ORLEANS ST, SUITE 345, CHICAGO, IL 60610-3132
- **Mailing address phone:** (312) 467-0678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 038-005791 | IL | Yes |

## Other

- **Enumeration date:** 04/27/2011
- **Last updated:** 04/27/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 038-005791 | ILLINOIS LICENSE NUMBER | IL |
| 01 | — | 1629024518 | INDIVIDUAL NPI | — |