Organization
BALANCE CENTERS OF ILLINOIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K BUSKIRK P.T. (PRESIDENT)
(847) 906-2022
Entity
Organization
Contact information
Practice address
3545 LAKE AVE, #103, WILMETTE, IL 60091-1058
(847) 906-2021
(847) 512-5064
Mailing address
PO BOX 4733, SKOKIE, IL 60076-4733
(847) 679-0629
(847) 679-0630
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
060004284
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634372
BLUE SHIELD
IL
01
—
209881
GROUP MEDICARE
IL
Enumeration date
11/13/2006
Last updated
12/29/2008
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