NPIMap

Organization Active NPI

True Balance Wellness Center Inc.

  • Chiropractor
  • Rolling Meadows, IL
National Provider Identifier
1396102414
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.009765 Issued in IL
Legal business name
TRUE BALANCE WELLNESS CENTER INC.
Practice address
2260 Hicks Rd
Ste 404
Rolling Meadows, IL 60008-1256
Phone
(847) 873-0204
Fax
(847) 873-0205
NPI assigned
Jan 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Authorized official

Name
Dr. Matthew Suberati, DC
Title
Owner
Phone
(847) 873-0204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038.009765 IL Primary

Addresses

Primary practice location

2260 Hicks Rd
Ste 404
Rolling Meadows, IL 60008-1256

Mailing address

2260 Hicks Rd
Ste 404
Rolling Meadows, IL 60008-1256
Phone (847) 873-0204

National Provider Directory

National Provider Directory

Locations

2260 Hicks Rd
Ste 404
Rolling Meadows, IL 60008
Phone (847) 873-0204

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1396102414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 HICKS RD",
            "address_2": "STE 404",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600081256",
            "telephone_number": "847-873-0204",
            "fax_number": "847-873-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 HICKS RD",
            "address_2": "STE 404",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600081256",
            "telephone_number": "847-873-0204",
            "fax_number": "847-873-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE BALANCE WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "SUBERATI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-873-0204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.009765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Meadows, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.