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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457320830 NPPES
Illinois Other 02232331 BCBSIL

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