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General NPI Number Information
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NPI Number | 1588535082
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Entity Type | Organization
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Legal Business Name | BODY IN BALANCE CHIROPRACTIC MEDICAL AND WELLNESS PLLC
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 701 LEE ST STE 450
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City | DES PLAINES
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State | IL
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Zip | 60016-4545
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Country | US
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Telephone | 847-768-9330
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Fax |
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Provider Business Mailing Address
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Address Line | 1199 NOHEA ST
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City | KALAHEO
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State | HI
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Zip | 96741-8735
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GREG BANKS
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Credential | DC
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Telephone | 847-867-4253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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