Life Balance Medical Center

Specialty details in registry · Roscoe, IL

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At a glance

5069 Edgemere Ct, Roscoe, IL 61073-8800

NPPES record updated Sep 13, 2022. Public records can lag behind changes at a practice.

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Practice location

5069 Edgemere Ct
Roscoe, IL 61073-8800

Professional details: NPI, taxonomy & registry record

NPI1790332815

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 208D00000X
Enumeration date: Aug 22, 2019
Record updated: Sep 13, 2022

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

208D00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

5069 Edgemere Ct
Roscoe, IL 61073-8800

Phone: (815) 623-1013
Fax: (815) 623-1017

Mailing address

5069 EDGEMERE CT

ROSCOE, IL 610738800

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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