Mind Body Balance Clinic, Pllc | |
284 Vista Dr, Bolingbrook, IL 60490-5538 | |
(331) 201-2863 | |
Not Available |
Full Name | Mind Body Balance Clinic, Pllc |
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Type | Facility |
Speciality | Chiropractor - Nutrition |
Location | 284 Vista Dr, Bolingbrook, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1548880446 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111NN1001X | Chiropractor - Nutrition | (* (Not Available)) | Primary |
Provider Name | Michael R Quintana |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1942647383 PECOS PAC ID: 9234373572 Enrollment ID: I20150709001259 |
Mailing Address | Practice Location Address |
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Mind Body Balance Clinic, Pllc 284 Vista Dr, Bolingbrook, IL 60490-5538 Ph: (630) 649-0629 | Mind Body Balance Clinic, Pllc 284 Vista Dr, Bolingbrook, IL 60490-5538 Ph: (331) 201-2863 |
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