NPI 1003270802

A Balanced Life Medical Services LLC

Organisation General Practice Physician Morton, IL

Practice location

Address: 430 W Edgewood CT, Morton, IL 61550-2402
Phone: (309) 525-5012

Authorised official

Name: Michael Ahearn
Title: Business Owner
Phone: (309) 883-9330

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 036074050 (IL)

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Registry record

NPI: 1003270802
Entity type: Organization
NPI issued: 7 Apr 2016
Record last updated: 7 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.