Organization Name: | CHIRO ONE WELLNESS CENTER OF WOODSTOCK LLC |
NPI Number: | 1528298221 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SAM WANG (C.O.O.) |
Mailing Address: | 11605 Catalpa Ln Woodstock |
State: | IL US |
Postal Code: | 600986923 |
Phone Number: | 8153374417 |
Fax Number: | 8153374809 |
NPI Enumeration Date: | 07/16/2009 |
NPI Last Update Date: | 08/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |