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

Organization subpart

No

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

Authorized official

Name

Miss E Nielsen

Title

President & Ceo

Phone

(866) 787-4443

Specialties & licenses 5

Addresses

Other names 1

• Life in Balance Other name

Locations

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
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• Jonathan Levine, MD
• Alicia Lew, PA-C
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• 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.