Individual provider Active NPI

Balu K Chacko

  • Diplomate Laboratory Management Specialist/Technologist
  • Hoffman Estates, IL
National Provider Identifier
1841160017
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diplomate Laboratory Management Specialist/TechnologistTaxonomy code 246QL0901X
Practice address
2401 Hassell Rd Ste 1510
Hoffman Estates, IL 60169-7241
Phone
(847) 781-2500
NPI assigned
Nov 11, 2025
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diplomate Laboratory Management Specialist/Technologist 246QL0901X Primary

Addresses

Primary practice location

2401 Hassell Rd Ste 1510
Hoffman Estates, IL 60169-7241

Mailing address

1390 Deer Trail Rd
Hoover, AL 35226-5040
Phone (205) 492-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1841160017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 DEER TRAIL RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352265040",
            "telephone_number": "205-492-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 HASSELL RD STE 1510",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601697241",
            "telephone_number": "847-781-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACKO",
        "first_name": "BALU",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QL0901X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management, Diplomate",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.