| Renewed Balance Health & Wellness Center, S.c. | |
|
2175 Point Blvd Suite 170 Elgin IL 60123-9216 | |
| (224) 558-0941 | |
| Not Available |
| Full Name | Renewed Balance Health & Wellness Center, S.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2175 Point Blvd, Elgin, Illinois |
| Authorized Official Name and Position | John Schori (PRESIDENT) |
| Authorized Official Contact | 2245580941 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Balance Health & Wellness Center, S.c. 936 Forest Dr Elgin IL 60123-1328 Ph: (224) 558-0941 | Renewed Balance Health & Wellness Center, S.c. 2175 Point Blvd Suite 170 Elgin IL 60123-9216 Ph: (224) 558-0941 |
| NPI Number | 1780942169 |
|---|---|
| Provider Enumeration Date | 04/24/2012 |
| Last Update Date | 04/24/2012 |
| Medicare PECOS PAC ID | 1456516210 |
|---|---|
| Medicare Enrollment ID | O20120628000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780942169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 038012108 (Illinois) | Primary |
| Provider Name | John D Turner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003994567 PECOS PAC ID: 4789774605 Enrollment ID: I20071217000038 |
| Provider Name | John Wheeler Schori |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902179732 PECOS PAC ID: 2365607124 Enrollment ID: I20120628000208 |
| Provider Name | Daniel Addison De Biasio |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1295191781 PECOS PAC ID: 3476837980 Enrollment ID: I20190905002141 |
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