MIND BODY BALANCE CLINIC, PLLC (NPI# 1548880446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548880446 |
| Entity Type | Organization |
| Organization Name | MIND BODY BALANCE CLINIC, PLLC |
| Practice Address |
284 Vista Dr Bolingbrook IL 60490-5538 |
| Practice Telephone | 3312012863 |
| Mailing Telephone | 6306490629 |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |
| Authorized Official Name | DR. MICHAEL R QUINTANA (PRESIDENT/PHYSICIAN) |
| Authorized Official Telephone | 6306490629 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NN1001X |
Chiropractor Specialization: Nutrition |
Chiropractic Providers |
| Street Address |
284 VISTA DR |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60490-5538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942647383 | Michael Ruben Quintana | Chiropractor | 284 Vista Dr, Bolingbrook, IL 60490-5538 | 2013-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477055945 | Myeyedr Optometry of Illinois, LLC | Optometrist | 310 S Weber Road, Bolingbrook, IL 60490 | 2018-03-01 |
| 1609391812 | Christian Joy Lazaro Pangan | Physical Therapist | 306 Chick Evans St, Bolingbrook, IL 60490 | 2017-08-09 |
| 1922522515 | David-jamahl Ardison | Physical Therapist | 194 N Weber Road, Bolingbrook, IL 60490 | 2017-07-26 |
| 1508261298 | Haytham El-genedy | Chiropractor | 319 Veterans Pakwy Bolingbrook, Bolingbrook, IL 60490 | 2014-10-24 |
| 1568710465 | Anthony M Buonamici | Specialist/Technologist | 313 North Weber Road, Bolingbrook, IL 60490 | 2012-08-27 |
| 1235329384 | Fayez Mekhael Nagib Mekhael | Family Medicine | 2136 Mark Cir, Bolingbrook, IL 60490 | 2007-07-25 |
| 1841350584 | Mary M. Grimwood | Optometrist | 141 N. Weber Rd., Bolingbrook, IL 60490 | 2006-12-11 |
| 1154337962 | Nurses On Calls, Inc. | Home Health | 1475 Basswood Dr, Bolingbrook, IL 60490 | 2006-08-01 |
| 1801841150 | David E Zacher | Pharmacist | 1920 Danube Way, Bolingbrook, IL 60490 | 2006-05-24 |
| 1144229816 | Patricia Lee Colledge | Nurse Practitioner | 149 N Weber Rd, Bolingbrook, IL 60490 | 2005-07-15 |
| Find all providers in zip 60490 | ||||
| Taxonomy Code | 111NN1001X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Nutrition |
| Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic Nutrition Specialist will perform extensive research on the patient's previous health history, ethnicity, and any family history related to what the patient is being treated for. Patients fill out questionnaires concerning dietary and sleep patterns and previous or present symptomology. A nutrition examination would be performed to assess areas such as absorption rates, adrenal function, kidney health, lung health etc. The patient is often instructed on how to check the pH of their saliva and urine, test for the presence of Candida Albicans, etc., at home. Outside laboratory testing includes blood, urine, hair analysis, food allergy testing etc. The patient’s prescription and over the counter medications are recorded and analyzed. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942647383 | Michael Ruben Quintana | Chiropractor | 284 Vista Dr, Bolingbrook, IL 60490-5538 | 2013-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164901906 | Chicago Natural Health Care | Chiropractor | 3432 W Diversey Ave Ste 253, Chicago, IL 60647-1221 | 2018-08-13 |
| 1487162731 | Giaquinto Chiropractic and Digestion Center Inc. | Chiropractor | 300 East Ogden Avenue, Naperville, IL 60563 | 2018-01-19 |
| 1538694401 | Stephanie Young | Chiropractor | 111 E Mccasland Ave, East Alton, IL 62024-1452 | 2017-04-27 |
| 1396137816 | Stephen Justin Smitherman | Chiropractor | 2124 W Erie St Apt 1r, Chicago, IL 60612 | 2015-02-19 |
| 1154759579 | Bryan Thomas Howland | Chiropractor | 21503 405th St, Pittsfield, IL 62363-2940 | 2013-10-22 |
| 1528496163 | Complete Chiropractic Acupuncture and Family Wellness LLC | Chiropractor | 114 N Monroe St, Pittsfield, IL 62363-1427 | 2013-10-17 |
| 1447685052 | Active Wellness LLC | Chiropractor | 338 E Ohio, Chicago, IL 60611 | 2013-09-13 |
| 1891120408 | Active Wellness LLC | Chiropractor | 560 W Diversey Pkwy, Chicago, IL 60614 | 2013-09-13 |
| 1841637022 | Diane Elizabeth Petrow | Chiropractor | 1211 N La Salle Dr, Chicago, IL 60610-1927 | 2013-05-29 |
| 1902162662 | Active Wellness, LLC | Chiropractor | 4555 N Lincoln Ave, Chicago, IL 60625-2102 | 2012-04-06 |
| Find all providers with the same taxonomy | ||||
| City | BOLINGBROOK |
| Zip Code | 60490 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.