Active NPI
Sherriff Alli-Balogun, M.D.
- Internal Medicine Physician
- Matteson, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01051719
- Practice address
- 4747 Lincoln Mall Dr Ste 100
Matteson, IL 60443-3812 - Phone
- (708) 747-8006
- Fax
- (708) 747-8272
- NPI assigned
- Mar 8, 2007
- Last updated
- Jul 15, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01051719 | IN | |
| Internal Medicine Physician | 207R00000X | 01051719 | IN | Primary |
Addresses
Primary practice location
4747 Lincoln Mall Dr Ste 100
Matteson, IL 60443-3812
Mailing address
4747 Lincoln Mall Dr Ste 100
Matteson, IL 60443-3812
Phone (708) 747-8006
Other practice location 1
608 Chapel RD
Fort Wayne, IN 46845
Phone (260) 482-5091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.02 of 100
- Quality
- 74.88
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01051719 | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Weight Management Center LLC. | Current | Accepting new patients | |
| Community Hospital of Lagrange County Inc | Current | Accepting new patients | |
| PHS Indian Hospital | Past | Accepting new patients |
Locations
4747 Lincoln Mall Dr
Ste 100
Matteson, IL 60443
Phone (708) 747-8006
207 N Townline Rd
Lagrange, IN 46761
Phone (260) 266-5300
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Parkview LaGrange Hospital
- Critical Access Hospital
- Lagrange, IN
- NPI 1679674956
-
- Clinic/Center
- Matteson, IL
- NPI 1144914730
-
- General Acute Care Hospital
- Red Lake, MN
- NPI 1508809765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1114058617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4747 LINCOLN MALL DR STE 100",
"city": "MATTESON",
"state": "IL",
"postal_code": "604433812",
"telephone_number": "708-747-8006",
"fax_number": "708-747-8272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4747 LINCOLN MALL DR STE 100",
"city": "MATTESON",
"state": "IL",
"postal_code": "604433812",
"telephone_number": "708-747-8006",
"fax_number": "708-747-8272"
}
],
"practiceLocations": [
{
"address_1": "608 Chapel RD",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "46845",
"country_code": "US",
"telephone_number": "260-482-5091",
"fax_number": "260-482-4442",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLI-BALOGUN",
"first_name": "SHERRIFF",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01051719",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01051719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Matteson, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.