Organization
CHIROPRACTIC WELLNESS CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J DALAN D.C. (PRESIDENT)
(630) 527-8855
Entity
Organization
Contact information
Practice address
1813 N MILL ST, SUITE E, NAPERVILLE, IL 60563-1289
(630) 527-8855
(630) 527-9159
Mailing address
1813 N MILL ST, SUITE E, NAPERVILLE, IL 60563-1289
(630) 527-8855
(630) 527-9159
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-006431
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2205260
BLUE CROSS BLUE SHIEL
IL
Enumeration date
01/30/2006
Last updated
04/30/2012
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