Tri City Balance Center S.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

36052366 Issued in IL

Legal business name

TRI CITY BALANCE CENTER S.C.

Practice address

302 Randall Rd # 104-a
Geneva, IL 60134-4209

Phone

(630) 377-4020

Fax

(630) 377-4023

NPI assigned

Feb 27, 2007

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ronald B Bukowy, MDNPI 1922016765

Title

Medical Manager

Phone

(630) 377-4020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald B Bukowy, M.D. SC

  • Neurology Physician
  • Geneva, IL
  • NPI 1922016765
  NPD (past) Authorized official

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1780710194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 RANDALL RD # 104-A",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344209",
            "telephone_number": "630-377-4020",
            "fax_number": "630-377-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 RANDALL RD # 104-A",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344209",
            "telephone_number": "630-377-4020",
            "fax_number": "630-377-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI CITY BALANCE CENTER S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BUKOWY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL MANAGER",
        "authorized_official_telephone_number": "630-377-4020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "36052366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04532303",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Totum Health PLLC
• William P Towne, M.D.
• Megen Alyson Townsend, PA-C
• Catherine Tremblay, MD
• Tri City Balance Center S.C.
• Tri City Radiology S.C
• Tri-Cities Dialysis LLC
• Tri-Cities Surgery Center LLC
• Tri-City Health Care, PLLC
• Tricity Family Services

• Specialist in Geneva, IL
• Providers in Geneva, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.