Catina Ballin

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

CATINA BALLIN

Practice address

8808 Riley Road
Wonderlake, IL 60097

Phone

(630) 390-4666

NPI assigned

Jun 3, 2016

Last updated

Jun 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Catina Mary Ballin

Title

DSP

Phone

(630) 390-4665

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1649629346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8808 RILEY RD",
            "city": "WONDER LAKE",
            "state": "IL",
            "postal_code": "600978986",
            "telephone_number": "630-390-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8808 RILEY ROAD",
            "city": "WONDERLAKE",
            "state": "IL",
            "postal_code": "60097",
            "telephone_number": "630-390-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATINA BALLIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "BALLIN",
        "authorized_official_first_name": "CATINA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "DSP",
        "authorized_official_telephone_number": "630-390-4665",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Wonder Lake, IL
• Providers in Wonder Lake, IL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.