A Balanced Life Anti-Aging Clinic
NPI 1780531723ActiveOrganization· Clinic/Center· Morton, IL
Clinic/Center in Morton, Illinois, registered in NPPES in March 2026. The authorized official on file is Yesenia Servin, CPMSM, Director.
Overview
| NPI | 1780531723 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 10, 2026 |
| Last updated in NPPES | Mar 10, 2026 |
| Certified by provider | Mar 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
| General Practice | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Clinic/Center providers in Morton
- 1629180799
- 1366637258
- 1801156377