Organization
CHIRO ONE WELLNESS CENTER OF CRYSTAL LAKE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM WANG DC (COO)
(630) 468-1824
Entity
Organization
Contact information
Practice address
435 ANGELA LN STE 12, CRYSTAL LAKE, IL 60014-1074
(815) 301-4200
(815) 301-4205
Mailing address
2625 BUTTERFIELD RD, STE 301N, OAK BROOK, IL 60523-1234
(630) 468-1824
(630) 701-1007
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5632232
BCBS
IL
Enumeration date
02/27/2007
Last updated
05/30/2023
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