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Organization

DR. TROY TANN S.C.

Active
Other names
Balanced Life Chiropractic & Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TROY MARK TANN D.C. (CHIROPRACTOR)
(630) 370-2299
Entity
Organization

Contact information

Practice address
2112 WINDING RIVER DR, SUITE #120, NAPERVILLE, IL 60564-8554
(630) 428-2299
(630) 904-2299
Mailing address
2112 WINDING RIVER DR, SUITE #120, NAPERVILLE, IL 60564-8554
(630) 428-2299
(630) 904-2299

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2222492
BCBS IN NETWORK PROVIDER
IL
01
3668098
AETNA IN NETWORK PROVIDER
IL
01
911-3986
PHCS IN NETWORK PROVIDER
IL
Enumeration date
03/30/2007
Last updated
08/22/2020
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