OrganizationActive
A Balanced Life Anti-Aging Clinic
NPI 1780531723 · Clinic/Center · Morton, IL
Provider details
- NPI number
- 1780531723
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Yesenia Servin, Director(708) 979-9082
Specialties & taxonomies
Ambulatory Health Care Facilities
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
370 E Courtland St
Morton, IL 61550-9054
Phone: (309) 291-0899
Street-level locationGet directions
Mailing address
370 E Courtland St
Morton, IL 61550-9054
Registry dates
- Enumerated
- 2026-03-10
- Last updated
- 2026-03-10
- Certified
- 2026-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.