Organization
WEST SUBURBAN WELLNESS OF OAK BROOK, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY CHARLES WESELAK D.C. (PRESIDENT)
(630) 629-9500
Entity
Organization
Contact information
Practice address
1100 JORIE BLVD STE 318, OAK BROOK, IL 60523-2242
(630) 629-9500
Mailing address
1100 JORIE BLVD STE 318, OAK BROOK, IL 60523-2242
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002232693
BCBS
IL
01
—
P00416153
RAILROAD MEDICARE
IL
Enumeration date
09/12/2018
Last updated
10/30/2018
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