Balanced Flow Medical LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

038012628 Issued in IL

Legal business name

BALANCED FLOW MEDICAL LLC

Practice address

2325 W North Ave
Chicago, IL 60647-5369

Phone

(312) 880-9697

NPI assigned

Jan 6, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Dominika Malinowska Hertsberg, DC

Title

Coo

Phone

(312) 880-9697

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 7

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

• Danish Haque, MD

  • Emergency Medicine Physician
  • Barrington, IL
  • NPI 1336193093
  Medicare reassignment NPD
• Kenji Oyasu, M.D.

  • Emergency Medicine Physician
  • Waukegan, IL
  • NPI 1487768552
  Medicare reassignment NPD
• Brittany Olivia Bock, PA-C

  • Physician Assistant
  • Chicago, IL
  • NPI 1508402967
  Medicare reassignment
• Lauralea Thomas, NP

  • Family Nurse Practitioner
  • Park Ridge, IL
  • NPI 1104393115
  NPD
• Mark Levee, D.C.

  • Chiropractor
  • Northfield, IL
  • NPI 1689216889
  NPD (past)
• Conor Macdonald, LMT

  • Massage Therapist
  • Chicago, IL
  • NPI 1659813194
  NPD (past)
• Katherine Meisner, LMT

  • Massage Therapist
  • Chicago, IL
  • NPI 1629568886
  NPD (past)

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

{
    "created_epoch": "1515196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1336656701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475369",
            "telephone_number": "312-880-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475369",
            "telephone_number": "312-880-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED FLOW MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-06",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "MALINOWSKA HERTSBERG",
        "authorized_official_first_name": "DOMINIKA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "312-880-9697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IL",
            "license": "038012628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225442502",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Balanced Body Integrated Wellness S.C.
• Balanced Counseling and Psychotherapy Services PLLC
• Balanced Counseling Boldly Inc.
• Balanced Energy Acupuncture LLC
• Balanced Flow Life LLC
• Balanced Flow Wellness LLC
• Balanced Life Counseling
• Balanced Mind Psychotherapy, LLC
• Balanced Mind Therapy
• Balanced Perspective Psychological Services Inc

• General Practice Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.