Organization
PERFECTBALANCE MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID KINDRED M.D. (OWNER)
(309) 922-1446
Entity
Organization
Contact information
Practice address
7720 N GRAND PRAIRIE DR, PEORIA, IL 61615-9242
(309) 922-1446
Mailing address
7720 N GRAND PRAIRIE DR, PEORIA, IL 61615-9242
(309) 922-1446
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036086752
IL
Other
Enumeration date
02/25/2016
Last updated
04/04/2016
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