Balk, Kelly Jane

Balk, Kelly Jane is an sole proprietor health care provider with primary practice located at 333 N Michigan Ave Suite 1900, Chicago IL 60601-3901. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Balk, Kelly Jane can be contacted via phone (773) 321-2761.

Contact Information

Primary practice address
333 N Michigan Ave Suite 1900 Chicago IL 60601-3901
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071.009051 Illinois

Profile Details

NPI number 1043605827
LBN Legal business name Balk, Kelly Jane
Credentials PSY.D., L.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2015
Last updated Mar 30th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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