Individual provider · Type 1 NPI
Lesley Yan Wong, DC, L.M.T.
Chiropractor · Roselle, IL
NPI number
1497023535
Active
Practice location
805 E Irving Park Rd, Suite B
Roselle, IL 60172-4320
Mailing address
636 E Irving Park Rd, Suite B
Roselle, IL 60172-2303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038012074 (IL) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1497023535
Lesley Yan Wong, DC, L.M.T.'s National Provider Identifier is 1497023535, issued on Dec 4, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Roselle, IL. The record was last updated on Mar 31, 2017.