Organization
CHIRO ONE WELLNESS CENTER OF PLEASANT PRAIRIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MORAN (CREDENTIALING MANAGER)
(630) 229-4430
Entity
Organization
Contact information
Practice address
9755 76TH ST STE 730, PLEASANT PRAIRIE, WI 53158-1925
(630) 468-1824
Mailing address
814 COMMERCE DR STE 300, OAK BROOK, IL 60523-8823
(630) 468-1824
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
03/27/2026
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