Balanced Health

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

BALANCED HEALTH

Practice address

1614 Main St Apt D
Evanston, IL 60202-1688

Phone

(515) 718-5468

NPI assigned

Jun 29, 2020

Organization subpart

No

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

Authorized official

Name

Jamaal Applewhite

Title

Operations Manager

Phone

(515) 718-5468

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1659998326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 MAIN ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 MAIN ST APT D",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021688",
            "telephone_number": "515-718-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "APPLEWHITE",
        "authorized_official_first_name": "JAMAAL",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "515-718-5468"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Grace Bailey, MA, LCPC, BC-DMT
• Joseph Bajtner, D.D.S
• Preston Baker, MD
• Angela Bakke, MS
• Malgorzata Balaban, APN-CNP
• Nikolas John Balasis
• Audrey Mutz Baldauf, CRNA
• Paris Jetaun Ball, PHD
• Amory S Balucating, MS, CCRN, CRNA, APN
• Kellie Audra Banfield, DPT

• Community Health Clinic/Center in Evanston, IL
• Providers in Evanston, IL by specialty
• Community Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.