A BALANCED LIFE ANTI-AGING CLINIC
NPI 1780531723
Clinic/Center in Morton, IL

Q: What is A Balanced Life Anti-Aging Clinic's NPI number?

The NPI number for A Balanced Life Anti-Aging Clinic is 1780531723. It was assigned to this organization in the NPPES registry on March 10, 2026.

Q: What is A Balanced Life Anti-Aging Clinic's specialty?

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

Active since March 10, 2026CLIA 14D2311723 · Waiver

370 E COURTLAND ST, MORTON, IL 61550(309) 291-0899 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About A Balanced Life Anti-aging Clinic NPPES

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

A BALANCED LIFE ANTI-AGING CLINIC (NPI 1780531723) is a healthcare organization registered as a clinic/center in Morton, Illinois and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through September 26, 2026 and lists Yesenia Servin, Director, as its authorized official.

NPPES Registry Identity

NPI1780531723

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameA BALANCED LIFE ANTI-AGING CLINIC

Location Address370 E COURTLAND STMorton, IL 61550-9054

Mailing Address370 E Courtland StMorton, IL 61550-9054 · (309) 291-0899

Phone(309) 291-0899

Organization SubpartNo

Authorized OfficialYesenia ServinDirector · (708) 979-9082

Enumeration DateMarch 10, 2026

NPPES CertifiedMarch 10, 2026

✔ NPI 1780531723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedGeneral PracticeTaxonomy 208D00000X

370 E COURTLAND ST, Morton, IL 61550

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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2311723

A Balanced Life · Morton, IL

Active · expires Sep 26, 2026

CLIA Number14D2311723

Laboratory TypePhysician Office

Certificate Effective DateSeptember 27, 2024

Certificate Expiration DateSeptember 26, 2026

Laboratory DirectorMichael Ahearn

Laboratory Phone(309) 291-0899

Laboratory LocationA Balanced Life370 E Courtland St, Morton, IL 61550

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH ANNE HAYES APN

Nurse Practitioner (Family)