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Contact Information

FUNCTIONALLY BALANCED BODYWORK CLINICS, LLC
3850 W 95TH ST FL 1
EVERGREEN PARK, IL60805-2006
 Phone: 708-529-7111
 Fax: 708-843-5811
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic/Center

261Q00000X
 

Acupuncturist

171100000X
 

Chiropractor

111N00000X 35 Chiropractic
 

Massage Therapist

225700000X
 

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for FUNCTIONALLY BALANCED BODYWORK CLINICS, LLC

NPI Number 1497210850
LBN Legal business name FUNCTIONALLY BALANCED BODYWORK CLINICS, LLC
Authorized official THERESA STARK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2019
Last updated 02/08/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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