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DR. TROY TANN S.C. NPI 1255451449


NPI Information

NPI: 1255451449
Provider Name: DR. TROY TANN S.C.

Doing Business As: BALANCED LIFE CHIROPRACTIC & WELLNESS CENTER

Classification: Chiropractor - 111NS0005X
Entity Type: Organization

Specialization: Sports Physician

Address:
2112 WINDING RIVER DR
SUITE #120
NAPERVILLE, IL
ZIP 60564
Phone: (630) 428-2299
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DR. TROY TANN S.C. is a sports physician chiropractor in Naperville, IL. The provider is a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. DR. TROY TANN S.C. NPI is 1255451449. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Balanced Life Chiropractic & Wellness Center.

The provider's business location address is:

2112 WINDING RIVER DR
SUITE #120
NAPERVILLE, IL
ZIP 60564-554
Phone: (630) 428-2299
Fax: (630) 904-2299

The provider's authorized official is Troy Mark Tann .
The authorized official title is Chiropractor and has the following contact phone number (630) 370-2299.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NS0005XChiropractorSports PhysicianILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12222492OTHERILLINOISBCBS IN NETWORK PROVIDER
23668098OTHERILLINOISAETNA IN NETWORK PROVIDER
3911-3986OTHERILLINOISPHCS IN NETWORK PROVIDER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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