Provider Demographics
NPI:1437821600
Name:BALANCED LIVING CHIROPRACTIC & WELLNESS CENTER, LTD
Entity Type:Organization
Organization Name:BALANCED LIVING CHIROPRACTIC & WELLNESS CENTER, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JODIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-599-9900
Mailing Address - Street 1:1015 N CORPORATE CIR STE D
Mailing Address - Street 2:
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-7813
Mailing Address - Country:US
Mailing Address - Phone:847-599-9900
Mailing Address - Fax:847-599-9901
Practice Address - Street 1:1015 N CORPORATE CIR STE D
Practice Address - Street 2:
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-7813
Practice Address - Country:US
Practice Address - Phone:847-599-9900
Practice Address - Fax:847-599-9901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-05
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment