Organization
CHIRO ONE WELLNESS CENTER OF OAKBROOK SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM WANG (COO)
(630) 468-1824
Entity
Organization
Contact information
Practice address
2210 CAMDEN CT, STE 101, OAK BROOK, IL 60523-1272
(630) 468-1820
(630) 468-1823
Mailing address
2625 BUTTERFIELD RD, SUITE 301N, OAK BROOK, IL 60523-1234
(630) 468-1824
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02233056
BCBS
IL
01
—
6629430001
MEDICARE NSC
IL
Enumeration date
10/09/2006
Last updated
05/10/2024
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