Life in Balance Healthcare & Wellness, Inc.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

LIFE IN BALANCE HEALTHCARE & WELLNESS, INC.

Practice address

4 E Ogden Ave # 344
Westmont, IL 60559-3506

Phone

(866) 787-4443

Fax

(866) 787-4443

NPI assigned

Nov 1, 2010

Last updated

May 14, 2015By 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

Miss E NielsenNPI 1780880393

Title

President & Ceo

Phone

(866) 787-4443

Specialties & licenses 5

Addresses

Other names 1

• Life in Balance Other name

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.

• E Nielsen, BS, MSW, LCSW, CRADC

  • Clinical Social Worker
  • Westmont, IL
  • NPI 1780880393
  Authorized official Same address or phone

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1831499359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E OGDEN AVE # 344",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605593506",
            "telephone_number": "866-787-4443",
            "fax_number": "866-787-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E OGDEN AVE # 344",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605593506",
            "telephone_number": "866-787-4443",
            "fax_number": "866-787-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE IN BALANCE HEALTHCARE & WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "E",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "866-787-4443",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149013025",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life in Balance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Scott Lennie, OT
• Tara Leszczewicz, PT
• Marijo Letizia, ANP
• Jonathan Levine, MD
• Alicia Lew, PA-C
• Lifeline Transportation LLC
• Lilly&Yi Healthcare Inc (Westmont Sunshine Therapy Center)
• Amy M Lima, M.S.
• Kenneth Lin
• Gary Edward Lindemann, DDS

• Endocrinology, Diabetes & Metabolism Physician in Westmont, IL
• Providers in Westmont, IL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.