Organization Active NPI

Balance Family Chiropractic, LTD.

  • Chiropractor
  • Bartlett, IL
National Provider Identifier
1194875427
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009167 Issued in IL
Legal business name
BALANCE FAMILY CHIROPRACTIC, LTD.
Practice address
366 S Main St
Bartlett, IL 60103-4423
Phone
(630) 837-3707
Fax
(630) 837-3706
NPI assigned
Jan 11, 2007
Last updated
Aug 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Dr. Robin Michelle Henderson, D.C., D.I.C.C.P.NPI 1750399408
Title
President
Phone
(630) 837-3707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038009167 IL Primary

Addresses

Primary practice location

366 S Main St
Bartlett, IL 60103-4423

Mailing address

366 S Main St
Bartlett, IL 60103-4423
Phone (630) 837-3707

Other practice location 1

776 West Bartlett Road
Bartlett, IL 60103
Phone (630) 837-3707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070124000105 IL Part B Supplier - Clinic/Group Practice 5092716704 Receives reassigned benefits from 2 practitioners
Practice locations: Bartlett, IL

National Provider Directory

National Provider Directory

Locations

366 S Main St
Bartlett, IL 60103
Phone (630) 837-3707

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1194875427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 S MAIN ST",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034423",
            "telephone_number": "630-837-3707",
            "fax_number": "630-837-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 S MAIN ST",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034423",
            "telephone_number": "630-837-3707",
            "fax_number": "630-837-3706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "776 West Bartlett Road",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "IL",
            "postal_code": "60103",
            "country_code": "US",
            "telephone_number": "630-837-3707",
            "fax_number": "630-837-3706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALANCE FAMILY CHIROPRACTIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-837-3707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., D.I.C.C.P."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.