NPIMap

Organization Active NPI

Balanced Body Chiropractic LLC

  • Chiropractor
  • Oswego, IL
National Provider Identifier
1790179976
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012304 Issued in IL
Legal business name
BALANCED BODY CHIROPRACTIC LLC
Practice address
1231 Farmington Lakes Dr
Suite 101
Oswego, IL 60543-5109
Phone
(331) 212-6962
Fax
(630) 429-9276
NPI assigned
Mar 25, 2015
Last updated
Mar 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Authorized official

Name
Dr. Kristen Accardo, D.C.NPI 1215087598
Title
President
Phone
(331) 212-6962

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038012304 IL Primary

Addresses

Primary practice location

1231 Farmington Lakes Dr
Suite 101
Oswego, IL 60543-5109

Mailing address

1231 Farmington Lakes Dr
Suite 101
Oswego, IL 60543-5109
Phone (331) 212-6962

National Provider Directory

National Provider Directory

Locations

1231 Farmington Lakes Dr
Ste 101
Oswego, IL 60543
Phone (331) 212-6962

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1790179976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 FARMINGTON LAKES DR",
            "address_2": "SUITE 101",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605435109",
            "telephone_number": "331-212-6962",
            "fax_number": "630-429-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 FARMINGTON LAKES DR",
            "address_2": "SUITE 101",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605435109",
            "telephone_number": "331-212-6962",
            "fax_number": "630-429-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED BODY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "ACCARDO",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "331-212-6962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.