LIFE BALANCE MEDICAL CENTER
NPI 1790332815
General Practice in Roscoe, IL

Active since August 22, 2019
5069 EDGEMERE CT, ROSCOE, IL 61073(815) 623-1013(815) 623-1017 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 13, 2022, Aug 22, 2019 (2 updates tracked since 2019).

About Life Balance Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE BALANCE MEDICAL CENTER (NPI 1790332815) is a healthcare organization registered as a general practice in Roscoe, Illinois and active in the NPI registry since August 2019. The organization lists Alecia Arn, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790332815
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLIFE BALANCE MEDICAL CENTER
Location Address5069 EDGEMERE CTRoscoe, IL 61073-8800
Mailing Address5069 Edgemere CtRoscoe, IL 61073-8800 · (815) 623-1013 · Fax (815) 623-1017
Fax(815) 623-1017
Organization SubpartNo
Authorized OfficialAlecia ArnCeo · (815) 623-1013
Enumeration DateAugust 22, 2019
Last NPPES UpdateSeptember 13, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2022
✔ NPI 1790332815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
5069 EDGEMERE CT, Roscoe, IL 61073

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Life Balance Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Life Balance Medical Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1285632620
5069 EDGEMERE CT
Roscoe, IL 61073
(815) 623-1013
0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Balance Medical Center's NPI number?

The NPI number for Life Balance Medical Center is 1790332815. It was assigned to this organization in the NPPES registry on August 22, 2019.

Where is Life Balance Medical Center located?

Life Balance Medical Center is located at 5069 Edgemere Ct, Roscoe, IL 61073. The listed phone number is (815) 623-1013.

What is Life Balance Medical Center's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Life Balance Medical Center enrolled in Medicare?

Yes. Life Balance Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Balance Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Life Balance Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Life Balance Medical Center was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.