Organization
WEST SUBURBAN WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY WESELAK DC (CHIROPRACTOR/CLINIC DIRECTOR)
(630) 629-9500
Entity
Organization
Contact information
Practice address
1127 S MAIN ST, LOMBARD, IL 60148-3948
(630) 629-9500
(630) 629-9501
Mailing address
1127 S MAIN ST, LOMBARD, IL 60148-3948
(630) 629-9500
(630) 629-9501
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
038.011472
IL
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
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