Rolande D Balan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038007681 Issued in IL

Practice address

1304 E 47TH St Ste 201
Chicago, IL 60653-4695

Phone

(773) 493-7034

Fax

(773) 493-5521

NPI assigned

Oct 3, 2005

Last updated

Jan 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hyde Park Chiropractic Wellness Center SC

  • Chiropractor
  • Chicago, IL
  • NPI 1104926344
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1750378006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 E 47TH ST STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606534695",
            "telephone_number": "773-493-7034",
            "fax_number": "773-493-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 E 47TH ST STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606534695",
            "telephone_number": "773-493-7034",
            "fax_number": "773-493-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAN",
        "first_name": "ROLANDE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038007681",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manjushree Balaji
• Swathi Balaji, MS, MPH
• Thankappa Pillai Balaji, M.D.
• Uma Lakshmi Balakrishnan
• Bharat Balan, MD, MS
• Balance & Bloom Counseling PLLC
• Balance Massage Therapy Inc. (Balance Healing Center)
• Balance Mental Health PLLC
• Balanced Adjustments LTD
• Balanced Approach Chiropractic Care

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.