# MIND BODY BALANCE CLINIC, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548880446
- **Authorized official:** DR. MICHAEL R QUINTANA DC (PRESIDENT/PHYSICIAN)
- **Authorized official phone:** (630) 649-0629

## Contact information

- **Practice address:** 400 W LIBERTY DR STE B, WHEATON, IL 60187-4993
- **Practice address phone:** (331) 201-2863
- **Mailing address:** 400 W LIBERTY DR STE B, WHEATON, IL 60187-4993
- **Mailing address phone:** (331) 201-2863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | — | NULL | Yes |
| 111NN1001X | Nutrition Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 04/21/2020
- **Last updated:** 06/25/2025