# CHIRO ONE WELLNESS CENTER OF ADDISON LLC

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

## Provider details

- **NPI number:** 1558518563
- **Authorized official:** DR. SAM WANG DC (COO)
- **Authorized official phone:** (630) 468-1824

## Contact information

- **Practice address:** 1450 W LAKE ST, SUITE \#101, ADDISON, IL 60101-5767
- **Practice address phone:** (847) 250-4810
- **Practice address fax:** (847) 250-4815
- **Mailing address:** PO BOX 5988, DEPT. 20-5034, CAROL STREAM, IL 60197-5988
- **Mailing address phone:** (630) 320-6400
- **Mailing address fax:** (630) 320-6489

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 08/20/2008
- **Last updated:** 11/07/2012