Provider Demographics
NPI:1780942169
Name:RENEWED BALANCE HEALTH & WELLNESS CENTER, S.C.
Entity type:Organization
Organization Name:RENEWED BALANCE HEALTH & WELLNESS CENTER, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER/CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:SCHORI
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:630-529-6111
Mailing Address - Street 1:4N580 WESCOT LN
Mailing Address - Street 2:
Mailing Address - City:WEST CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60185-6150
Mailing Address - Country:US
Mailing Address - Phone:224-558-0941
Mailing Address - Fax:
Practice Address - Street 1:320 E ARMY TRAIL RD
Practice Address - Street 2:
Practice Address - City:GLENDALE HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60139-1757
Practice Address - Country:US
Practice Address - Phone:630-529-6111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-24
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012108261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care