Organization
MIND BODY BALANCE CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R QUINTANA DC (PRESIDENT/PHYSICIAN)
(630) 649-0629
Entity
Organization
Contact information
Practice address
400 W LIBERTY DR STE B, WHEATON, IL 60187-4993
(331) 201-2863
Mailing address
400 W LIBERTY DR STE B, WHEATON, IL 60187-4993
(331) 201-2863
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
—
—
Other
Enumeration date
04/21/2020
Last updated
06/25/2025
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