Wesely, Mark M
Wesely, Mark M is an individual health care provider with primary practice located at 800 Roosevelt Rd Bldg B Suite 112, Glen Ellyn IL 60137-5839. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wesely, Mark M can be contacted via phone (630) 790-3335.Contact Information
Primary practice address
800 Roosevelt Rd Bldg B Suite 112
Glen Ellyn IL 60137-5839
Phone: (630) 790-3335
Fax: (630) 790-3345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038009503 | Illinois |
Profile Details
| NPI number | 1457320830 |
|---|---|
| LBN Legal business name | Wesely, Mark M |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Mar 25th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457320830 | NPPES |
| Illinois | Other | 02232331 | BCBSIL |
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