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Organization
CHIRO ONE WELLNESS CENTER OF BLOOMINGDALE LLC
Active
Organization
CHIRO ONE WELLNESS CENTER OF BLOOMINGDALE 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
364 W ARMY TRAIL RD, SUITE 330B, BLOOMINGDALE, IL 60108-5603
(630) 351-1071
(630) 351-1360
Mailing address
2625 BUTTERFIELD RD, STE 301N, OAK BROOK, IL 60523-1234
(630) 468-1824
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038010291
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232823
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/29/2006
Last updated
10/24/2017
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