A Balanced Life Medical Services LLC

NPI #1003270802 in Morton, Illinois

Provider Information

NPI Number: 1003270802
Entity Type: Organization
Organization Name: A Balanced Life Medical Services LLC
Primary Specialty: General Practice
Enumeration Date: Apr 7, 2016
Last Updated: Apr 7, 2016

Practice Location

Address: 430 W EDGEWOOD CT
City: Morton
State: Illinois
ZIP Code: 61550-2402
Phone: (309) 525-5012

Authorized Official

Name: DR. MICHAEL AHEARN, MD
Title: BUSINESS OWNER
Phone: (309) 883-9330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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