Provider Demographics
NPI:1275675704
Name:T&G WHEATLEY ENTERPRISES LTD
Entity Type:Organization
Organization Name:T&G WHEATLEY ENTERPRISES LTD
Other - Org Name:EOLA FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:WHEATLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-820-1700
Mailing Address - Street 1:2380 S EOLA RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60503-6489
Mailing Address - Country:US
Mailing Address - Phone:630-820-1700
Mailing Address - Fax:630-820-0790
Practice Address - Street 1:2380 S EOLA RD
Practice Address - Street 2:SUITE 104
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60503-6489
Practice Address - Country:US
Practice Address - Phone:630-820-1700
Practice Address - Fax:630-820-0790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL38009693111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty