Balanced Life Sc

LBN: Balanced Life Sc
Balanced Life Sc is an health care organization with primary practice located at 1650 Moon Lake Blvd Attn: Dr Jin, Hoffman Estates IL 60194-1010. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Balanced Life Sc can be contacted via phone (947) 496-4216, or through Jin, Kwan Bo via phone (847) 496-4216.

Contact Information

Primary practice address
1650 Moon Lake Blvd Attn: Dr Jin Hoffman Estates IL 60194-1010
Phone: (947) 496-4216
Fax: (847) 358-7516
Website:
Map and Directions
Authorized official contact:
Name: Jin, Kwan Bo Doctor of Medicine (MD)
Phone: (847) 496-4216

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X Illinois

Profile Details

NPI number 1730299652
LBN Legal business name Balanced Life Sc
DBA Doing business as
Authorized official Jin, Kwan Bo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730299652 NPPES
Illinois Other K14712 PROVIDER MEDICARE NUMBER
Illinois Other K14710 PROVIDER MEDICARE NUMBER
Illinois Other K14711 PROVIDER MEDICARE NUMBER

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