Healthcare Provider Details

I. General information

NPI: 1063692853
Provider Name (Legal Business Name): WARREN E. WOLSCHLAGER P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2007
Last Update Date: 02/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1408 S MAIN ST
ALGONQUIN IL
60102-2746
US

IV. Provider business mailing address

1408 S MAIN ST
ALGONQUIN IL
60102-2746
US

V. Phone/Fax

Practice location:
  • Phone: 847-854-0829
  • Fax: 847-854-6257
Mailing address:
  • Phone: 847-854-0829
  • Fax: 847-854-6257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. WARREN E. WOLSCHLAGER
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 847-854-0829