Bodies in Balance Whole Health, LLC

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

038007974 Issued in IL

Legal business name

BODIES IN BALANCE WHOLE HEALTH, LLC

Practice address

3100 Dundee Rd Ste 504
Northbrook, IL 60062-2449

Phone

(847) 562-0890

Fax

(773) 634-8282

NPI assigned

Jun 28, 2013

Last updated

Jun 28, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hal Stein, DC

Title

Chiropractor

Phone

(847) 562-0890

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1942640479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 DUNDEE RD STE 504",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622449",
            "telephone_number": "847-562-0890",
            "fax_number": "773-634-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 DUNDEE RD STE 504",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622449",
            "telephone_number": "847-562-0890",
            "fax_number": "773-634-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODIES IN BALANCE WHOLE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "HAL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "847-562-0890",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "IL",
            "license": "038010326",
            "primary": false
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "IL",
            "license": "038007974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internist Chiropractor in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Internist Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.