Maria Balkoura MD SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MARIA BALKOURA MD SC

Practice address

1. E. Superior St
Suite 210
Chicago, IL 60611-2594

Phone

(312) 944-3857

Fax

(312) 944-8404

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Maria H Balkoura, M.D.NPI 1720086481

Title

President

Phone

(312) 944-3857

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria H Balkoura, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1720086481
  NPD (past) Authorized official

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1366571945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1. E. SUPERIOR ST",
            "address_2": "SUITE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112594",
            "telephone_number": "312-944-3857",
            "fax_number": "312-944-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1. E. SUPERIOR ST",
            "address_2": "SUITE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112594",
            "telephone_number": "312-944-3857",
            "fax_number": "312-944-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA BALKOURA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "BALKOURA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-944-3857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36042786",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Margulis, DMD
• Sarah Margulis
• Rebecca Marhoefer, MSW, LSW
• Mari Estate LLC
• Maria Baginski M.D. LTD
• Maria L. Reyes, M.D., S.C.
• Maria Riza Bautista MD SC
• Maria Sinis DMD LTD
• Maria Therese Galang DMD Ms P C
• Mariam Pharmacy

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.