Christopher Michael Ballak, M.S.W., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

40 S Clay St
Suite 202W
Hinsdale, IL 60521-3257

Phone

(630) 248-4523

NPI assigned

Mar 4, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1396874624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 S CLAY ST",
            "address_2": "SUITE 202W",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213257",
            "telephone_number": "630-248-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S CLAY ST",
            "address_2": "SUITE 202W",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213257",
            "telephone_number": "630-248-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLAK",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "M.S.W., LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "0002228102",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith A Baird, PH.D.
• Rizwan S Bajwa, DO
• Stephanie Jean Bakosh, MSN, ANP-BC
• Richard John Balcerak, DDS
• Carolyn M Ball
• Robye D Ballard, PMHNP-BC
• Carol Ballou, M.D.
• Bailey A Balloun, M.S.
• Richard R Balsamo, M.D.
• Hassan Suhail Baqir, DC

• Clinical Social Worker in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.