Organization
CHIRO ONE WELLNESS CENTER OF WAUKEGAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM WANG (COO)
(630) 468-1824
Entity
Organization
Contact information
Practice address
3905 FOUNTAIN SQUARE PL, WAUKEGAN, IL 60085-6705
(847) 693-3030
(847) 693-3035
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
—
—
Other
Enumeration date
11/24/2009
Last updated
10/24/2017
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