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General NPI Number Information
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NPI Number | 1669410684
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Entity Type | Organization
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Legal Business Name | HEALTH IN BALANCE CHIROPRACTIC CENTER, LTD.
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 2385 BOWES RD STE 100
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City | ELGIN
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State | IL
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Zip | 60123-5501
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Country | US
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Telephone | 847-741-3355
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Fax | 847-741-3355
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Provider Business Mailing Address
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Address Line | 2385 BOWES RD STE 100
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City | ELGIN
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State | IL
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Zip | 60123-5501
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Country | US
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Telephone | 847-741-3355
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Fax | 847-741-3355
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN J WALDO
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Credential | DC
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Telephone | 847-741-3355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038010568
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License Number State | IL
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