Individual provider Active NPI

Balin Annete Durr, M.D.

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1356438147
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Practice address
1276 N. Clybourn
Chicago, IL 60610
Phone
(312) 337-1073
Fax
(312) 337-7616
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X IL Primary

Addresses

Primary practice location

1276 N. Clybourn
Chicago, IL 60610

Mailing address

1276 N. Clybourn
Chicago, IL 60610
Phone (312) 337-1073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171215000299 IL Practitioner - PsychiatryPractitioner - Pediatric Medicine 3476811738 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036110465ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Will County Community Health Center CurrentSince Oct 29, 2017 Accepting new patients
Will County Community Health Center CurrentSince Oct 29, 2017 Accepting new patients
Edgewood Clinical Services, P.C. CurrentSince Aug 7, 2025 Accepting new patients
Will County Community Health Center Current Accepting new patients
Psychology Specialists LTD Past Accepting new patients

Locations

1616 N Damen Ave
Ste 301
Chicago, IL 60647
Phone (312) 761-4720

501 Ella Ave
Joliet, IL 60433
Phone (815) 727-8480

1106 Neal Ave
Joliet, IL 60433
Phone (815) 727-5054

2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165

15303 S 94th Ave
Ste 250
Orland Park, IL 60462
Phone (708) 505-5205

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.balindurr@146897.advancedmd-direct.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356438147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 N. CLYBOURN",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60610",
            "telephone_number": "312-337-1073",
            "fax_number": "312-337-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 N. CLYBOURN",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60610",
            "telephone_number": "312-337-1073",
            "fax_number": "312-337-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURR",
        "first_name": "BALIN",
        "middle_name": "ANNETE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.