Provider Demographics
NPI:1629454582
Name:DUPAGE FAMILY WELLNESS P.C.
Entity Type:Organization
Organization Name:DUPAGE FAMILY WELLNESS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMURE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-448-0255
Mailing Address - Street 1:28W530 BATAVIA RD
Mailing Address - Street 2:
Mailing Address - City:WARRENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60555-3022
Mailing Address - Country:US
Mailing Address - Phone:630-448-0255
Mailing Address - Fax:
Practice Address - Street 1:28W530 BATAVIA RD
Practice Address - Street 2:
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60555-3022
Practice Address - Country:US
Practice Address - Phone:630-448-0255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-03
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty