Organization
CHIRO ONE WELLNESS CENTER OF WOODSTOCK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM WANG (C.O.O.)
(630) 468-1824
Entity
Organization
Contact information
Practice address
11605 CATALPA LN, WOODSTOCK, IL 60098-6923
(815) 337-4417
(815) 337-4809
Mailing address
2625 BUTTERFIELD RD, STE 301N, OAK BROOK, IL 60523-1234
(630) 320-6400
(630) 320-6489
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5632416
BCBS-IL
IL
Enumeration date
07/16/2009
Last updated
08/13/2013
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