Organization
CHIRO ONE WELLNESS CENTER OF BLOOMINGDALE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM WANG DC (COO)
(630) 468-1824
Entity
Organization
Contact information
Practice address
364 W ARMY TRAIL RD, SUITE 330B, BLOOMINGDALE, IL 60108-5603
(630) 351-1071
(630) 351-1360
Mailing address
2625 BUTTERFIELD RD, STE 301N, OAK BROOK, IL 60523-1234
(630) 468-1824
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038010291
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232823
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/29/2006
Last updated
10/24/2017
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