Life Balance Chiropractic and Rehabilitation Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-008969 Issued in IL

Legal business name

LIFE BALANCE CHIROPRACTIC AND REHABILITATION INC.

Practice address

4727 Willow Springs Rd
Suite 1S
La Grange, IL 60525-6140

Phone

(630) 240-9821

NPI assigned

Jul 29, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Angelo Gec, D.C.NPI 1497938989

Title

Owner/Chiropractor

Phone

(630) 240-9821

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angelo Gec, D.C

  • Chiropractor
  • La Grange, IL
  • NPI 1497938989
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1083056261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 WILLOW SPRINGS RD",
            "address_2": "SUITE 1S",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256140",
            "telephone_number": "630-240-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 WILLOW SPRINGS RD",
            "address_2": "SUITE 1S",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256140",
            "telephone_number": "630-240-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BALANCE CHIROPRACTIC AND REHABILITATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "GEC",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "630-240-9821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in La Grange, IL
• Providers in La Grange, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.