Katie Anne Balcer, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

085-004119 Issued in IL

Practice address

822 W Cullerton St Apt 3E
Chicago, IL 60608-3621

Phone

(616) 446-9651

NPI assigned

Sep 20, 2011

Last updated

Apr 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alexian Brothers Specialty Group

  • Specialist
  • Elk Grove Village, IL
  • NPI 1720371669
  NPD (past)
• Birinder S Marwah MD LTD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1497784235
  NPD (past)
• Northwest Suburban Urology Associates SC

  • Urology Physician
  • Elk Grove Village, IL
  • NPI 1013089481
  NPD (past)
• Ritl Medical Services SC

  • Emergency Medicine Physician
  • Blue Island, IL
  • NPI 1386974244
  NPD (past)

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1942582663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 W CULLERTON ST APT 3E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 W CULLERTON ST APT 3E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083621",
            "telephone_number": "616-446-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCER",
        "first_name": "KATIE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085-004119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lourenz Marie Balayan
• Peggy Balboa, RD
• Erika Balbuena
• Leonel Antonio Balcarcel
• Cesar A Balcazar
• Jakub Balcerzak, PHARM. D.
• Rebecca Balch
• Diane L Baldacci, P.T.
• Emma C Baldacci, LAT, ATC
• Michele Baldasti, LPC

• Medical Physician Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.