Individual provider Active NPI

Lauralea Thomas, NP

  • Family Nurse Practitioner
  • Park Ridge, IL
National Provider Identifier
1104393115
Registry record updated Oct 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.018226 Issued in IL
Practice address
111 S Washington Ave Ste 202
Park Ridge, IL 60068-4293
Phone
(847) 423-6800
NPI assigned
Oct 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.018226 IL Primary

Addresses

Primary practice location

111 S Washington Ave Ste 202
Park Ridge, IL 60068-4293

Mailing address

4029 N Francisco Ave # 1N
Chicago, IL 60618-2601
Phone (847) 331-2458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

222 W Ontario St
Suite 310
Chicago, IL 60654-3621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.018226ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Flow Life LLC CurrentSince Sep 5, 2023 Accepting new patients
Balanced Flow Medical LLC CurrentSince Jun 2, 2020 Accepting new patients

Locations

222 W Ontario St
Ste 310
Chicago, IL 60654
Phone (312) 880-9697

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540684800000",
    "number": "1104393115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 N FRANCISCO AVE # 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606182601",
            "telephone_number": "847-331-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S WASHINGTON AVE STE 202",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684293",
            "telephone_number": "847-423-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LAURALEA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-28",
        "last_updated": "2018-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.018226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.