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
Fax: (815) 455-1210
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801856117 NPPES
Illinois MEDICAID 036073896
Illinois Other 080107933

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