Genevieve Elizabeth Balcerak

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

B42628578699 Issued in IL

Practice address

3123 Eugene LN
Aurora, IL 60504-7281

Phone

(630) 820-6591

NPI assigned

Jul 6, 2010

Last updated

Jul 6, 2010By 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

• Mrs. Genevieve Elizabeth Follett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1710299870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 EUGENE LN",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047281",
            "telephone_number": "630-820-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3123 EUGENE LN",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047281",
            "telephone_number": "630-820-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCERAK",
        "first_name": "GENEVIEVE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": "B42628578699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENEVIEVE",
            "last_name": "FOLLETT",
            "middle_name": "ELIZABETH",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarvottam Bajaj, MD
• Sonia Bajaj, LCPC
• Brittney Bajek, BCBA
• Stefanie L Baker-Watson
• Gina Marie Bakiares-Santori, DPM
• Marshall George Balding, D.P.M.
• Sheryl Hiller Baldwin, RN
• Amy Bales, RBT 17-42996
• Matthew Ballenger
• San Juana Ballesteros

• Developmental Therapist in Aurora, IL
• Providers in Aurora, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.