MEDICARE: ELAN WELLNESS SERVICE CORPORATION

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		IL

General Provider Information

NPI Number	:	1790853299
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELAN WELLNESS SERVICE CORPORATION

Provider Business Mailing Address
First Line	:	1900 OGDEN AVE
Second Line	:	SUITE 202
City	:	AURORA
State	:	IL
Zip	:	60504-4273
Country	:	US
Telephone Number	:	630-499-9420
Fax Number	:	630-499-9450

Provider Business Practice Location Address
First Line	:	1900 OGDEN AVE
Second Line	:	SUITE 202
City	:	AURORA
State	:	IL
Zip	:	60504-4273
Country	:	US
Telephone Number	:	630-499-9420
Fax Number	:	630-499-9450

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JONATHAN ALLEN TRUHLAR
Credential	:	D.C.
Telephone Number	:	630-499-9420

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	08/22/2020

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Directions to “ELAN WELLNESS SERVICE CORPORATION ” Practice Location

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