Organization
CHIRO ONE WELLNESS CENTER METRO OF ANDERSONVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM WANG (COO)
(630) 468-1824
Entity
Organization
Contact information
Practice address
5623 N CLARK ST, CHICAGO, IL 60660-4108
(773) 754-3850
(773) 754-3853
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
04/13/2011
Last updated
10/24/2017
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