Balocki, John S
Balocki, John S is an individual health care provider with primary practice located at 185 Heritage Drive Suite 3, Crystal Lake IL 60014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Balocki, John S can be contacted via phone (815) 455-0310.Contact Information
Primary practice address
185 Heritage Drive Suite 3
Crystal Lake IL 60014
Phone: (815) 455-0310
Fax: (815) 455-1210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036073896 | Illinois |
Profile Details
| NPI number | 1801856117 |
|---|---|
| LBN Legal business name | Balocki, John S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jan 26th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801856117 | NPPES |
| Illinois | MEDICAID | 036073896 | |
| Illinois | Other | 080107933 |
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