Provider Demographics
NPI:1659643633
Name:BALANCED CARE CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:BALANCED CARE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PITTENGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-222-4544
Mailing Address - Street 1:2500 W HIGGINS RD STE 965
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-2048
Mailing Address - Country:US
Mailing Address - Phone:847-466-5157
Mailing Address - Fax:847-466-5764
Practice Address - Street 1:2500 W HIGGINS RD STE 965
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-2048
Practice Address - Country:US
Practice Address - Phone:847-466-5157
Practice Address - Fax:847-466-5764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-06
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010625111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty