Organization
BALANCE MENTAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC TIEDE MD (MD/OWNER)
(312) 248-3050
Entity
Organization
Contact information
Practice address
123 S GREEN ST APT 506B, CHICAGO, IL 60607-3663
(312) 248-3050
Mailing address
123 S GREEN ST APT 506B, CHICAGO, IL 60607-3663
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/05/2024
Last updated
08/28/2024
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