Organization
CHIRO ONE WELLNESS CENTER OF BLOOMINGTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM WANG (COO)
(630) 468-1824
Entity
Organization
Contact information
Practice address
1701 E EMPIRE ST STE 320, BLOOMINGTON, IL 61704-7900
(630) 468-1824
Mailing address
2625 BUTTERFIELD RD STE 301N, OAK BROOK, IL 60523-1266
(630) 468-1824
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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