Organization
A BALANCED LIFE MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL AHEARN MD (BUSINESS OWNER)
(309) 883-9330
Entity
Organization
Contact information
Practice address
430 W EDGEWOOD CT, MORTON, IL 61550-2402
(309) 525-5012
Mailing address
430 W EDGEWOOD CT, MORTON, IL 61550-2402
(309) 525-5012
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036074050
IL
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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