Provider Demographics
NPI:1477671873
Name:DUPAGE HEALTH AND WELLNESS CENTERS, LTD
Entity Type:Organization
Organization Name:DUPAGE HEALTH AND WELLNESS CENTERS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:BARTELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-554-6111
Mailing Address - Street 1:5 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-8622
Mailing Address - Country:US
Mailing Address - Phone:630-554-6111
Mailing Address - Fax:630-554-6166
Practice Address - Street 1:5 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-8622
Practice Address - Country:US
Practice Address - Phone:630-554-6111
Practice Address - Fax:630-554-6166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty