Provider Demographics
NPI:1962671008
Name:BETTER LIVING INSTITUTE
Entity Type:Organization
Organization Name:BETTER LIVING INSTITUTE
Other - Org Name:NORTHWEST HEALTHCARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:KEARNS
Authorized Official - Suffix:II
Authorized Official - Credentials:DN
Authorized Official - Phone:815-337-7109
Mailing Address - Street 1:800 E SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:IL
Mailing Address - Zip Code:60098-4247
Mailing Address - Country:US
Mailing Address - Phone:815-337-7109
Mailing Address - Fax:
Practice Address - Street 1:800 E SOUTH ST
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:IL
Practice Address - Zip Code:60098-4247
Practice Address - Country:US
Practice Address - Phone:815-337-7109
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-22
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172P00000XOther Service ProvidersNaprapathGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01625437OtherBLUE CROSS-BLUESHIELD