Wesely Family Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009503 Issued in IL

Legal business name

WESELY FAMILY CHIROPRACTIC, P.C.

Practice address

800 Roosevelt Rd
BLDG B Suite 112
Glen Ellyn, IL 60137-5839

Phone

(630) 790-3335

Fax

(630) 790-3345

NPI assigned

Mar 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark M Wesely, DC

Title

Owner

Phone

(630) 790-3335

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1043289432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROOSEVELT RD",
            "address_2": "BLDG B SUITE 112",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375839",
            "telephone_number": "630-790-3335",
            "fax_number": "630-790-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROOSEVELT RD",
            "address_2": "BLDG B SUITE 112",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375839",
            "telephone_number": "630-790-3335",
            "fax_number": "630-790-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESELY FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "WESELY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-790-3335",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "02232331",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Hunter Webb, MD
• Laura A Weese, AU.D.
• Wellness Constellation PLLC
• Rachael A Wenzl, LMT
• Genna F Werner, LSW
• Mark M Wesely, DC
• Michelle L Wesely, DC
• West Suburban Laboratories
• Wheaton Counseling Associates, LTD.
• Jenna Brooke Wheeler, AUD

• Chiropractor in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.