A Balanced Life Medical Services LLC
Organization Active NPI General Practice Physician · Morton, IL
NPI 1003270802 · NPPES record last updated Apr 7, 2016
Key facts
- NPI
- 1003270802
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 036074050 (IL)
- Legal business name
- A BALANCED LIFE MEDICAL SERVICES LLC
- Practice address
- 430 W Edgewood CT
Morton, IL 61550-2402 - Phone
- (309) 525-5012
- NPI assigned
- Apr 7, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael Ahearn, MD
- Title
- Business Owner
- Phone
- (309) 883-9330
Practitioners 3
-
Elizabeth Anne Hayes, APN
-
Chris Wade, PA-C
National Provider Directory
Locations
340 E Courtland St
Morton, IL 61550
370 E Courtland St
Morton, IL 61550
Phone (309) 291-0899
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | 036074050 | IL | Yes |
Addresses
Primary practice location
430 W Edgewood CT
Morton, IL 61550-2402
Mailing address
430 W Edgewood CT
Morton, IL 61550-2402
Phone (309) 525-5012
Other providers in Morton, IL
- 4 Integrated Health LLC
- A Balanced Life Anti-Aging Clinic
- Agape Counseling, LTD
- Lindsay Anderson
- Nancy J. Anderson
- Andris Family Dental, LLC
- Ryan W Andris
All providers in Morton, IL · General Practice Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.