MEDICARE: DR. IWONA BIALON WNEK DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	038011087	IL

General Provider Information

NPI Number	:	1154507960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IWONA BIALON WNEK DC

Provider Business Mailing Address
First Line	:	7416 MADISON ST
Second Line	:
City	:	FOREST PARK
State	:	IL
Zip	:	60130-1568
Country	:	US
Telephone Number	:	773-617-4631
Fax Number	:	877-408-1071

Provider Business Practice Location Address
First Line	:	7416 MADISON ST
Second Line	:
City	:	FOREST PARK
State	:	IL
Zip	:	60130-1568
Country	:	US
Telephone Number	:	773-617-4631
Fax Number	:	877-408-1071

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2008
Last Update Date	:	05/09/2019

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