| West Suburban Wellness Of Oak Brook, Llc. | |
|
1100 Jorie Blvd Ste 318 Oak Brook IL 60523-2242 | |
| (630) 629-9500 | |
| Not Available |
| Full Name | West Suburban Wellness Of Oak Brook, Llc. |
|---|---|
| Speciality | Clinic/center |
| Location | 1100 Jorie Blvd Ste 318, Oak Brook, Illinois |
| Authorized Official Name and Position | Timothy Charles Weselak (PRESIDENT) |
| Authorized Official Contact | 6306299500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Suburban Wellness Of Oak Brook, Llc. 1100 Jorie Blvd Ste 318 Oak Brook IL 60523-2242 Ph: () - | West Suburban Wellness Of Oak Brook, Llc. 1100 Jorie Blvd Ste 318 Oak Brook IL 60523-2242 Ph: (630) 629-9500 |
| NPI Number | 1316420763 |
|---|---|
| Provider Enumeration Date | 09/12/2018 |
| Last Update Date | 10/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316420763 | NPI | - | NPPES |
| P00416153 | Other | IL | RAILROAD MEDICARE |
| 0002232693 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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