Perfectbalance MD SC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036086752 Issued in IL

Legal business name

PERFECTBALANCE MD SC

Practice address

7720 N Grand Prairie Dr
Peoria, IL 61615-9242

Phone

(309) 922-1446

NPI assigned

Feb 25, 2016

Organization subpart

No

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

Authorized official

Name

Dr. David Kindred, M.D.

Title

Owner

Phone

(309) 922-1446

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1912367582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 N GRAND PRAIRIE DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616159242",
            "telephone_number": "309-922-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 N GRAND PRAIRIE DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616159242",
            "telephone_number": "309-922-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECTBALANCE MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "KINDRED",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-922-1446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "IL",
            "license": "036086752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diogenes Leslie Perera
• Lynsey Perera
• Eli Scott Perez, BSN, APN
• Stephanie Perez
• Veronica Lynn Perez, DO
• Jeanne M Perino, BSN
• Kelly L Perisin, FNP-C
• Christine C Perks, MD
• Elizabeth Pernicone
• Lauren Katelyn Perri, CRNA

• General Practice Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.