Organization
FAMILY CHIROPRACTIC CLINIC OF WEST CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARON ELLEN WERNER D.C. (PRESIDENT)
(630) 876-9191
Entity
Organization
Contact information
Practice address
117 W ROOSEVELT RD, WEST CHICAGO, IL 60185-3765
(630) 876-9191
Mailing address
117 W ROOSEVELT RD, WEST CHICAGO, IL 60185-3765
(630) 876-9191
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02207202
BLUECROSS AND BLUESHIELD
IL
Enumeration date
03/19/2007
Last updated
08/22/2020
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