MEDICARE: BALANCED COUNSELING AND PSYCHOTHERAPY SERVICES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1467314096
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BALANCED COUNSELING AND PSYCHOTHERAPY SERVICES PLLC

Provider Business Mailing Address
First Line	:	920 JUNIPER RD
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60025-3322
Country	:	US
Telephone Number	:	315-489-8206
Fax Number	:

Provider Business Practice Location Address
First Line	:	4355 N WESTERN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-1621
Country	:	US
Telephone Number	:	312-600-0534
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MICHAEL RAYMOND O'CONNELL
Credential	:	LCSW
Telephone Number	:	315-489-8206

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

Similar Medicare Providers

1508921263 — BENJAMIN K NG RPH
Practice Location Address:

4345 N WESTERN AVE
CHICAGO, IL
60618-1621

Practice Phone: 773-561-1280
Practice Fax: 773-561-8025

1235936725 — MR. MICHAEL R O'CONNELL LCSW
Practice Location Address:

4355 N WESTERN AVE
CHICAGO, IL
60618-1621

Practice Phone: 312-600-0534
Practice Fax:

1306939640 — DR. ANNE MAXWELL SEIDEN M.D.
Practice Location Address:

5544 S WOODLAWN AVE
CHICAGO, IL
60637-1621

Practice Phone: 773-241-7072
Practice Fax: 773-643-6058

1225192289 — MR. DAVID WILLIAM BIESCHKE MSW, LCSW
Practice Location Address:

30 N MICHIGAN AVE , SUITE 1621
CHICAGO, IL
60602-3402

Practice Phone: 773-508-4788
Practice Fax: 219-923-9476

1245388545 — MR. JUAN PERRY C. VERON PA-C, ATC
Practice Location Address:

4842 W HUTCHINSON ST , #207
CHICAGO, IL
60641-1621

Practice Phone: 773-283-7712
Practice Fax:

1720398399 — GRAY MEDICAL
Practice Location Address:

1621 W CARROLL AVE
CHICAGO, IL
60612-2501

Practice Phone: 312-291-9305
Practice Fax: 312-896-1436

Directions to “BALANCED COUNSELING AND PSYCHOTHERAPY SERVICES PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.