OrganizationActive
Balance & Wellbeing, LLC
NPI 1386299675 · Child & Adolescent Psychiatry Physician · Schaumburg, IL
Provider details
- NPI number
- 1386299675
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jovel Broqueza, Administrator(630) 344-9617
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Practice location
1051 Perimeter Dr Ste 1100
Schaumburg, IL 60173-5079
Phone: (630) 344-9617
Fax: (847) 648-4122
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 699
Camas, WA 98607-0699
Registry dates
- Enumerated
- 2019-08-05
- Last updated
- 2024-10-01
- Certified
- 2024-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.