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: July 19, 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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
5069 EDGEMERE CT
ROSCOE, IL 61073
Chiropractor
5069 EDGEMERE CT
ROSCOE, IL 61073

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790332815, enumerated as an "organization" on August 22, 2019.

The provider is located at 5069 EDGEMERE CT ROSCOE, IL 61073 and the phone number is (815) 623-1013.

General Practice with taxonomy code 208D00000X.