West Suburban Wellness of Oak Brook, LLC.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WEST SUBURBAN WELLNESS OF OAK BROOK, LLC.

Practice address

1100 Jorie Blvd Ste 318
Oak Brook, IL 60523-2242

Phone

(630) 629-9500

NPI assigned

Sep 12, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Charles Weselak, D.C.

Title

President

Phone

(630) 629-9500

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1316420763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JORIE BLVD STE 318",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JORIE BLVD STE 318",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232242",
            "telephone_number": "630-629-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUBURBAN WELLNESS OF OAK BROOK, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "WESELAK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-629-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00416153",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0002232693",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Joy Wendt, ATC
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• Larry S. Wexler, PH.D.
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• Kathryn J Wheeler, PH.D.
• Adrianna Whitaker, RBT

• Clinic/Center in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.