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NPI Code Detail

MEDICARE: TOTAL BALANCE CHIROPRACTIC, P.C.

MEDICARE: TOTAL BALANCE CHIROPRACTIC, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorIL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101635230OTHERILBCBSI

General Provider Information

NPI Number : 1942289533
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOTAL BALANCE CHIROPRACTIC, P.C.
Provider Business Mailing Address
First Line : 3139 N LINCOLN AVE
Second Line : SUITE 209
City : CHICAGO
State : IL
Zip : 60657-3114
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3139 N LINCOLN AVE
Second Line : SUITE 209
City : CHICAGO
State : IL
Zip : 60657-3114
Country : US
Telephone Number : 773-348-6908
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MARGARET SMITH
Credential : D.C.
Telephone Number : 773-348-6908
Provider Enumeration Date : 01/11/2006
Last Update Date : 08/22/2020

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Directions to “TOTAL BALANCE CHIROPRACTIC, P.C. ” Practice Location

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