Organization
CHIRO ONE WELLNESS CENTER OF HOMER GLEN, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM WANG D.C. (C.O.O)
(630) 468-1824
Entity
Organization
Contact information
Practice address
14142 S BELL RD, UNIT B12, HOMER GLEN, IL 60491-8465
(708) 675-1190
Mailing address
2625 BUTTERFIELD RD, STE 301N, OAK BROOK, IL 60523-1234
(630) 320-6400
(630) 701-1007
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9932663
BCBS
IL
Enumeration date
11/13/2007
Last updated
07/31/2013
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