Alexa Balzano, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146013113 Issued in IL

Practice address

9440 Kenton Ave
Skokie, IL 60076-1338

Phone

(847) 676-9000

NPI assigned

May 19, 2016

Last updated

Aug 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alexa Mazza Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Bys Speech and Occupational Therapy Services, LLC

  • Speech-Language Pathologist
  • Darien, IL
  • NPI 1316224462
  NPD (past)

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629590400000",
    "number": "1649627654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 EAST AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682728",
            "telephone_number": "847-767-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 KENTON AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761338",
            "telephone_number": "847-676-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALZANO",
        "first_name": "ALEXA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146013113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXA",
            "last_name": "MAZZA",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Stacey Ellen Ban, MD
• Michelle L Bandy, M.D.
• Andrew Harrison Bank, MD
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• Speech-Language Pathologist in Skokie, IL
• Providers in Skokie, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2021; 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.