Dr. Troy Tann S.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

DR. TROY TANN S.C.

Doing business as

Balanced Life Chiropractic & Wellness Center

Practice address

2112 Winding River Dr
Suite #120
Naperville, IL 60564-8554

Phone

(630) 428-2299

Fax

(630) 904-2299

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Troy Mark Tann, D.C.

Title

Chiropractor

Phone

(630) 370-2299

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Balanced Life Chiropractic & Wellness Center Doing business as

Locations

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255451449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 WINDING RIVER DR",
            "address_2": "SUITE #120",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648554",
            "telephone_number": "630-428-2299",
            "fax_number": "630-904-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 WINDING RIVER DR",
            "address_2": "SUITE #120",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648554",
            "telephone_number": "630-428-2299",
            "fax_number": "630-904-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TROY TANN S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TANN",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "630-370-2299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IN NETWORK PROVIDER",
            "identifier": "2222492",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA IN NETWORK PROVIDER",
            "identifier": "3668098",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS IN NETWORK PROVIDER",
            "identifier": "911-3986",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balanced Life Chiropractic & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sports Physician Chiropractor in Naperville, IL
• Providers in Naperville, IL by specialty
• Sports Physician Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.