NPI | 1255451449 |
---|---|
Doing Business As | BALANCED LIFE CHIROPRACTIC & WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | TROY MARK TANN Chiropractor 630-370-2299 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: IL 042-616954) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2020-08-22 |