MEDICARE: ONE HOUR WELLNESS CORP.

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	038010923	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962739920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE HOUR WELLNESS CORP.

Provider Business Mailing Address
First Line	:	1324 N MILWAUKEE AVE
Second Line	:	STE. 350
City	:	CHICAGO
State	:	IL
Zip	:	60622-9148
Country	:	US
Telephone Number	:	847-208-4968
Fax Number	:

Provider Business Practice Location Address
First Line	:	1324 N MILWAUKEE AVE
Second Line	:	STE. 350
City	:	CHICAGO
State	:	IL
Zip	:	60622-9148
Country	:	US
Telephone Number	:	847-208-4968
Fax Number	:	847-897-5990

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WILL ZUHIRA
Credential	:	D.C.
Telephone Number	:	847-208-4968

Provider Enumeration Date	:	11/12/2009
Last Update Date	:	05/20/2010

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Directions to “ONE HOUR WELLNESS CORP. ” Practice Location

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