Balthazor, Michael J

Balthazor, Michael J is an individual health care provider with primary practice located at 4711 Golf Rd Suite 1100, Skokie IL 60076-1224. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Balthazor, Michael J can be contacted via phone (847) 933-9339.

Contact Information

Primary practice address
4711 Golf Rd Suite 1100 Skokie IL 60076-1224
Phone: (847) 933-9339
Fax: (847) 933-0874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-006684 Illinois

Profile Details

NPI number 1386882793
LBN Legal business name Balthazor, Michael J
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2009
Last updated Jan 23rd, 2009 - about 15 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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