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WESELY FAMILY CHIROPRACTIC P.C. NPI 1043289432


NPI Information

NPI: 1043289432
Provider Name: WESELY FAMILY CHIROPRACTIC, P.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
800 ROOSEVELT RD
BLDG B SUITE 112
GLEN ELLYN, IL
ZIP 60137
Phone: (630) 790-3335
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WESELY FAMILY CHIROPRACTIC, P.C. is a chiropractor in Glen Ellyn, IL. The provider is 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. WESELY FAMILY CHIROPRACTIC, P.C. NPI is 1043289432. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

800 ROOSEVELT RD
BLDG B SUITE 112
GLEN ELLYN, IL
ZIP 60137-839
Phone: (630) 790-3335
Fax: (630) 790-3345

The provider's authorized official is Mark M Wesely .
The authorized official title is Owner and has the following contact phone number (630) 790-3335.

The enumeration date for this NPI number is 3/16/2006 and was last updated on 3/25/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor038009503ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102232331OTHERILLINOISBCBSIL
2208133MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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