A BALANCED LIFE MEDICAL SERVICES LLC NPI 1003270802

NPI Information

NPI: 1003270802
Provider Name: A BALANCED LIFE MEDICAL SERVICES LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
430 W EDGEWOOD CT
MORTON, IL
ZIP 61550
Phone: (309) 525-5012
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A BALANCED LIFE MEDICAL SERVICES LLC is a general practice in Morton, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee A BALANCED LIFE MEDICAL SERVICES LLC NPI is 1003270802. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

430 W EDGEWOOD CT
MORTON, IL
ZIP 61550-402
Phone: (309) 525-5012

The provider's authorized official is Michael Ahearn .
The authorized official title is Business Owner and has the following contact phone number (309) 883-9330.

The enumeration date for this NPI number is 4/7/2016 and was last updated on 4/7/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		036074050	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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