Organization Active NPI

Renewed Balance Health & Wellness Center, S.C.

  • Primary Care Clinic/Center
  • Glendale Heights, IL
National Provider Identifier
1780942169
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
038012108 Issued in IL
Legal business name
RENEWED BALANCE HEALTH & WELLNESS CENTER, S.C.
Practice address
320 E Army Trail Rd
Glendale Heights, IL 60139-1757
Phone
(630) 529-6111
NPI assigned
Apr 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Authorized official

Name
John W. Schori III, DCNPI 1902179732
Title
Onwer/Chiropractic Physician
Phone
(630) 529-6111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 038012108 IL Primary

Addresses

Primary practice location

320 E Army Trail Rd
Glendale Heights, IL 60139-1757

Mailing address

4N580 Wescot LN
West Chicago, IL 60185-6150
Phone (224) 558-0941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120628000189 IL Part B Supplier - Clinic/Group Practice 1456516210 Receives reassigned benefits from 2 practitioners
Practice locations: Glendale Heights, IL; West Chicago, IL

National Provider Directory

National Provider Directory

Locations

2175 Point Blvd
Ste 170
Elgin, IL 60123

320 E Army Trail Rd
Glendale Heights, IL 60139
Phone (630) 209-7253

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1780942169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4N580 WESCOT LN",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601856150",
            "telephone_number": "224-558-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E ARMY TRAIL RD",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391757",
            "telephone_number": "630-529-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED BALANCE HEALTH & WELLNESS CENTER, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "SCHORI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "ONWER/CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "630-529-6111",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "038012108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.