| Proper Balance Medical, Llc | |
|
733 S Wells St Chicago IL 60607-4507 | |
| (312) 765-0411 | |
| Not Available |
| Full Name | Proper Balance Medical, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 733 S Wells St, Chicago, Illinois |
| Authorized Official Name and Position | Christina Knox (OWNER) |
| Authorized Official Contact | 3127650411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Proper Balance Medical, Llc 733 S Wells St Chicago IL 60607-4507 Ph: (312) 765-0411 | Proper Balance Medical, Llc 733 S Wells St Chicago IL 60607-4507 Ph: (312) 765-0411 |
| NPI Number | 1568838647 |
|---|---|
| Provider Enumeration Date | 08/12/2015 |
| Last Update Date | 09/16/2015 |
| Medicare PECOS PAC ID | 3274840012 |
|---|---|
| Medicare Enrollment ID | O20150911000454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568838647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 336031676 (Illinois) | Primary |
| Provider Name | Christina A Knox |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548205875 PECOS PAC ID: 8921055922 Enrollment ID: I20050405000386 |
| Provider Name | Marek Gawrysz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508818055 PECOS PAC ID: 3173671807 Enrollment ID: I20090506000234 |
| Provider Name | Nina M Rusiana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376828194 PECOS PAC ID: 0941475602 Enrollment ID: I20111207000455 |
| Provider Name | Vanessa Przybyla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316341209 PECOS PAC ID: 2668794462 Enrollment ID: I20141205001156 |
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