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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

NPI Number 1700185741
LBN Legal business name HEALTHY BODY HEALTHY MIND
Authorized official DAVID FOO - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/16/2011
Last updated 05/19/2020 - About 6 years ago
Identifiers
IL License # 070013796
IL License # 198000516
IL License # 198000668
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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