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Contact Information

HEALTHY BODY HEALTHY MIND
1029 W PARK AVE
LIBERTYVILLE, IL60048-2550
 Phone: 847-722-8704
 Fax: 847-929-9568
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for HEALTHY BODY HEALTHY MIND · (Female)

NPI # 1700185741
Status Active
Credentials
Entity Individual
Enumeration date 03/16/2011
Last updated 05/19/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 070013796
  • IL License # 198000516
  • IL License # 198000668
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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