Healthcare Provider Details

I. General information

NPI: 1992707970
Provider Name (Legal Business Name): DARRELL WEHREND D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 02/04/2010
Certification Date:
Deactivation Date: 03/21/2006
Reactivation Date: 03/30/2006

III. Provider practice location address

777 OAKMONT LN SUITE 1000
WESTMONT IL
60559-5511
US

IV. Provider business mailing address

777 OAKMONT LN SUITE 1000
WESTMONT IL
60559-5511
US

V. Phone/Fax

Practice location:
  • Phone: 630-323-2225
  • Fax: 630-323-5230
Mailing address:
  • Phone: 630-323-2225
  • Fax: 630-323-5230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038-008598
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: