Individual
DR. ALAN W. WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
715 LAKE ST., STE 271, OAK PARK, IL 60301
(708) 848-2730
(708) 848-2739
Mailing address
715 LAKE ST., STE 271, OAK PARK, IL 60301
(708) 848-2730
(708) 848-2739
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-004298
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36-3407882
FEIN
—
Enumeration date
10/12/2006
Last updated
03/10/2017
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