Individual provider Active NPI

Rawan Balosh

  • Social Worker
  • Chicago, IL
National Provider Identifier
1780525576
Registry record updated Apr 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.117063 Issued in IL
Practice address
1212 S Michigan Ave Apt 2808
Chicago, IL 60605-2468
Phone
(202) 304-6782
NPI assigned
Apr 3, 2026
Last updated
Apr 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.117063 IL Primary

Addresses

Primary practice location

1212 S Michigan Ave Apt 2808
Chicago, IL 60605-2468

Mailing address

1212 S Michigan Ave Apt 2808
Chicago, IL 60605-2468
Phone (120) 230-4678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.117063ILMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1775174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775347200000",
    "number": "1780525576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S MICHIGAN AVE APT 2808",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052468",
            "telephone_number": "120-230-4678",
            "fax_number": "120-230-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S MICHIGAN AVE APT 2808",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052468",
            "telephone_number": "202-304-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOSH",
        "first_name": "RAWAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-03",
        "last_updated": "2026-04-05",
        "certification_date": "2026-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.117063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.