Chiro One Wellness Center Of Crystal Lake Sc

LBN: Chiro One Wellness Center Of Crystal Lake Sc
Chiro One Wellness Center Of Crystal Lake Sc is an health care organization with primary practice located at 435 Angela Ln Ste 12 , Crystal Lake IL 60014-1074. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Chiro One Wellness Center Of Crystal Lake Sc can be contacted via phone (815) 301-4200, or through Wang, Sam via phone (630) 468-1824.

Contact Information

Primary practice address
435 Angela Ln Ste 12 Crystal Lake IL 60014-1074
Fax: (815) 301-4205
Website:
Authorized official contact:
Name: Wang, Sam Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1124155098
LBN Legal business name Chiro One Wellness Center Of Crystal Lake Sc
DBA Doing business as
Authorized official Wang, Sam Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated May 30th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124155098 NPPES
Illinois Other 5632232 BCBS

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