Sara Balouta

Primary specialty

DentistTaxonomy code 122300000X

License

019.037422 Issued in IL

Practice address

223 W Jackson Blvd Ste 1106
Chicago, IL 60606-6900

Phone

(312) 525-8832

NPI assigned

Aug 8, 2026

Last updated

Aug 8, 2026By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1786147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786147200000",
    "number": "1740104991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17128 TEAKWOOD DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604875405",
            "telephone_number": "708-941-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W JACKSON BLVD STE 1106",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606066900",
            "telephone_number": "312-525-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOUTA",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-08",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.037422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Balog, OTR
• Riley Nikki Balogh
• Rene Therese Balos, RNC
• Rawan Balosh
• Kayla Arlene Balousek, MD
• Ronelo Alipin Baloyo, BA
• Lourdes Elento Balquiedra, DDS
• Sarina Balraj
• Shriveta Balram
• Jose Rafael Balsa Guerrero, MD

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; 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.