Organization Active NPI

Well Balanced LLC

  • Registered Dietitian
  • North Aurora, IL
National Provider Identifier
1235010927
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
WELL BALANCED LLC
Practice address
1401 Coghill CT
North Aurora, IL 60542-9021
Phone
(630) 201-0288
NPI assigned
Sep 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Michelle Reich, RDNNPI 1245951003
Title
Registered Dietition Nutritionist
Phone
(630) 201-0288

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
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

1401 Coghill CT
North Aurora, IL 60542-9021

Mailing address

1911 W Wilson St
PMB 565
Batavia, IL 60510
Phone (630) 201-0288

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260224001741 IL Part B Supplier - Clinic/Group Practice 9931680394 Receives reassigned benefits from 1 practitioner
Practice locations: North Aurora, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1235010927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 W WILSON ST",
            "address_2": "PMB 565",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "60510",
            "telephone_number": "630-201-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 COGHILL CT",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605429021",
            "telephone_number": "630-201-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL BALANCED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-08-22",
        "status": "A",
        "authorized_official_last_name": "REICH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "REGISTERED DIETITION NUTRITIONIST",
        "authorized_official_telephone_number": "630-201-0288",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.