Organization
LOMBARD CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY C WESELAK D.C. (PRESIDENT)
(630) 629-9500
Entity
Organization
Contact information
Practice address
1127 S. MAIN ST., LOMBARD, IL 60148
(630) 629-9500
(630) 629-9501
Mailing address
1127 S. MAIN ST., LOMBARD, IL 60148
(630) 629-9500
(630) 629-9501
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002232693
BCBS
IL
01
—
7210507
AETNA
IL
01
—
DG1098
RAILROAD MEDICARE
IL
Enumeration date
04/23/2007
Last updated
11/28/2007
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