FUNCTIONALLY BALANCED BODYWORK CLINICS, LLC
NPI 1497210850
Clinic/Center in Evergreen Park, IL

Q: What is Functionally Balanced Bodywork Clinics, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since February 08, 2019

3850 W 95TH ST FL 1, EVERGREEN PARK, IL 60805(708) 529-7111(708) 843-5811 Get Directions Write a Review

NPPES record last updated: February 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Functionally Balanced Bodywork Clinics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FUNCTIONALLY BALANCED BODYWORK CLINICS, LLC (NPI 1497210850) is a healthcare organization registered as a clinic/center in Evergreen Park, Illinois and active in the NPI registry since February 2019. The organization lists Theresa Rose Stark, Owner, as its authorized official.

NPPES Registry Identity

NPI1497210850

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameFUNCTIONALLY BALANCED BODYWORK CLINICS, LLC

Location Address3850 W 95TH ST FL 1Evergreen Park, IL 60805-2006

Mailing Address3850 W 95th St Fl 1Evergreen Park, IL 60805-2006 · (708) 529-7111 · Fax (708) 843-5811

Phone(708) 529-7111

Fax(708) 843-5811

Organization SubpartNo

Authorized OfficialTheresa Rose StarkOwner · (773) 556-5333

Enumeration DateFebruary 8, 2019

✔ NPI 1497210850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedChiropractorTaxonomy 111N00000X

Also ListedAcupuncturistTaxonomy 171100000X

Also ListedPhysical Therapy AssistantTaxonomy 225200000X

Also ListedMassage TherapistTaxonomy 225700000X

3850 W 95TH ST FL 1, Evergreen Park, IL 60805

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Functionally Balanced Bodywork Clinics, LLC's NPI number?

The NPI number for Functionally Balanced Bodywork Clinics, LLC is 1497210850. It was assigned to this organization in the NPPES registry on February 8, 2019.

Where is Functionally Balanced Bodywork Clinics, LLC located?

Functionally Balanced Bodywork Clinics, LLC is located at 3850 W 95th St Fl 1, Evergreen Park, IL 60805. The listed phone number is (708) 529-7111.

What is Functionally Balanced Bodywork Clinics, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Functionally Balanced Bodywork Clinics, LLC was last updated on February 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.