Healthcare Provider Details
I. General information
NPI: 1245408145
Provider Name (Legal Business Name): GLOBAL BALANCE ACUPUNCTURE LTD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/13/2008
Last Update Date: 02/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1804 N ARLINGTON HTS RD
ARLINGTON HTS IL
60004
US
IV. Provider business mailing address
1804 N ARLINGTON HTS RD
ARLINGTON HTS IL
60004
US
V. Phone/Fax
- Phone: 847-788-9999
- Fax: 847-590-0036
- Phone: 847-788-9999
- Fax: 847-590-0036
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133N00000X |
| Taxonomy | Nutritionist |
| License Number | |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 172P00000X |
| Taxonomy | Naprapath |
| License Number | |
| License Number State | IL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | IL |
VIII. Authorized Official
Name: DR.
DAVID
F
CHOW
Title or Position: OWNER
Credential: DN MSOM LDN
Phone: 847-788-9999