| Balance & Wellbeing, Llc | |
|
1051 Perimeter Dr Ste 1100 Schaumburg IL 60173-5079 | |
| (630) 344-9617 | |
| (847) 648-4122 |
| Full Name | Balance & Wellbeing, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1051 Perimeter Dr Ste 1100, Schaumburg, Illinois |
| Authorized Official Name and Position | Jovel Broqueza (ADMINISTRATOR) |
| Authorized Official Contact | 6303449617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balance & Wellbeing, Llc Po Box 699 Camas WA 98607-0699 Ph: (360) 903-1829 | Balance & Wellbeing, Llc 1051 Perimeter Dr Ste 1100 Schaumburg IL 60173-5079 Ph: (630) 344-9617 |
| NPI Number | 1386299675 |
|---|---|
| Provider Enumeration Date | 08/05/2019 |
| Last Update Date | 10/01/2024 |
| Certification Date | 10/01/2024 |
| Medicare PECOS PAC ID | 4688007925 |
|---|---|
| Medicare Enrollment ID | O20191127001421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386299675 | NPI | - | NPPES |
| 10029352 | Other | OR | OREGON BOARD OF NURSING |
| AP61586857 | Other | WA | WASHINGTON BOARD OF NURSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Marlene Tang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942401294 PECOS PAC ID: 2668521576 Enrollment ID: I20090526000435 |
| Provider Name | Jovel Broqueza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598019697 PECOS PAC ID: 3476705203 Enrollment ID: I20121130000308 |
| Provider Name | Andrea Arias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750894747 PECOS PAC ID: 0446654099 Enrollment ID: I20210804003352 |
| Provider Name | Diana Reynolds |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265552681 PECOS PAC ID: 7416395835 Enrollment ID: I20240404001851 |
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