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Organization

LIFE IN BALANCE HEALTHCARE & WELLNESS, INC.

Active
Other names
Life in Balance
Organization subpart
No

Provider details

NPI number
Authorized official
MISS E NIELSEN (PRESIDENT & CEO)
(866) 787-4443
Entity
Organization

Contact information

Practice address
4 E OGDEN AVE # 344, WESTMONT, IL 60559-3506
(866) 787-4443
(866) 787-4443
Mailing address
4 E OGDEN AVE # 344, WESTMONT, IL 60559-3506
(866) 787-4443
(866) 787-4443

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149013025
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2084P0805X
Geriatric Psychiatry Physician
208800000X
Urology Physician
363LG0600X
Gerontology Nurse Practitioner

Other

Enumeration date
11/01/2010
Last updated
05/14/2015
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