Provider Demographics
NPI:1154507960
Name:BIALON WNEK, IWONA (DC)
Entity Type:Individual
Prefix:DR
First Name:IWONA
Middle Name:
Last Name:BIALON WNEK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7416 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:FOREST PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60130-1568
Mailing Address - Country:US
Mailing Address - Phone:773-617-4631
Mailing Address - Fax:877-408-1071
Practice Address - Street 1:7416 MADISON ST
Practice Address - Street 2:
Practice Address - City:FOREST PARK
Practice Address - State:IL
Practice Address - Zip Code:60130-1568
Practice Address - Country:US
Practice Address - Phone:773-617-4631
Practice Address - Fax:877-408-1071
Is Sole Proprietor?:No
Enumeration Date:2008-01-11
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011087111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01623079OtherBLUE CROSS