Provider Demographics
NPI:1457192510
Name:BALANCED PSYCHIATRIC SOLUTIONS, LLC
Entity type:Organization
Organization Name:BALANCED PSYCHIATRIC SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:BEATA
Authorized Official - Middle Name:
Authorized Official - Last Name:JANTON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN,FNP-BC,PMHNP-BC
Authorized Official - Phone:630-716-9453
Mailing Address - Street 1:3934 W 26TH ST STE 204
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60623-3743
Mailing Address - Country:US
Mailing Address - Phone:630-716-9553
Mailing Address - Fax:630-489-9606
Practice Address - Street 1:3934 W 26TH ST STE 204
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60623-3743
Practice Address - Country:US
Practice Address - Phone:630-716-9453
Practice Address - Fax:630-489-9606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-03
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty