Organization
CHIRO ONE WELLNESS CENTER OF BOLINGBROOK 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
899 S WEBER RD, SUITE D, BOLINGBROOK, IL 60490-5488
(630) 771-9496
(630) 771-0361
Mailing address
2625 BUTTERFIELD RD, SUITE 301N, OAK BROOK, IL 60523-1234
(630) 468-1824
(630) 320-6489
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09932399
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/11/2006
Last updated
10/24/2017
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