Healthcare Provider Details

I. General information

NPI: 1912818261
Provider Name (Legal Business Name): HEAL YOUR LIFE AND BODY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1804 N ARLINGTON HEIGHTS RD
ARLINGTON HEIGHTS IL
60004-3910
US

IV. Provider business mailing address

2133 CHERRYWOOD CIR
NAPERVILLE IL
60565-2218
US

V. Phone/Fax

Practice location:
  • Phone: 847-788-9999
  • Fax:
Mailing address:
  • Phone: 708-369-6498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name: ALEJANDRO M FERNANDEZ
Title or Position: PRESIDENT
Credential: L.AC., M.S.O.M.
Phone: 708-369-6498