# BALANCED LIVING CHIROPRACTIC & WELLNESS CENTER, LTD

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

## Provider details

- **NPI number:** 1619116415
- **Authorized official:** DR. JODIE L SCHULTZ D.C. (PRESIDENT)
- **Authorized official phone:** (847) 599-9900

## Contact information

- **Practice address:** 1015 N CORPORATE CIR STE D, GRAYSLAKE, IL 60030-7813
- **Practice address phone:** (847) 599-9900
- **Practice address fax:** (847) 599-9901
- **Mailing address:** 1015 N CORPORATE CIR STE D, GRAYSLAKE, IL 60030-7813
- **Mailing address phone:** (847) 599-9900
- **Mailing address fax:** (847) 599-9901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 038010512 | IL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 02/18/2009
- **Last updated:** 03/20/2024