Active NPI
Carol Ballou, M.D.
- Psychiatry Physician
- Hinsdale, IL
National Provider Identifier
1144304874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036-058329
- Practice address
- 501 W Ogden Ave Ste 6
Hinsdale, IL 60521-3184 - Phone
- (630) 321-9590
- Fax
- (630) 920-0931
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036-058329 | IL | Primary |
Addresses
Primary practice location
501 W Ogden Ave Ste 6
Hinsdale, IL 60521-3184
Mailing address
PO Box 261
Western Springs, IL 60558-0261
Phone (630) 321-9590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022-26656 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-058329 | IL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427500800000",
"number": "1144304874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 261",
"city": "WESTERN SPRINGS",
"state": "IL",
"postal_code": "605580261",
"telephone_number": "630-321-9590",
"fax_number": "630-986-1477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W OGDEN AVE STE 6",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213184",
"telephone_number": "630-321-9590",
"fax_number": "630-920-0931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLOU",
"first_name": "CAROL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2015-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036-058329",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "022-26656",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.