| NPI | 1548385933 |
|---|---|
| Doing Business As | SIMPLE BALANCE HOLISTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | JAENA STANLEY-GONZAGA President 847-468-6012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-008895) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-07-07 |