Allison Kenny Balsam

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1318 W North Shore Ave Unit 2
Chicago, IL 60626-4708

Phone

(772) 539-2936

NPI assigned

Jul 22, 2015

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)

Not enrolled

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1992180715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 W NORTH SHORE AVE UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264708",
            "telephone_number": "772-539-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 W NORTH SHORE AVE UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264708",
            "telephone_number": "772-539-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSAM",
        "first_name": "ALLISON",
        "middle_name": "KENNY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lourdes Elento Balquiedra, DDS
• Sarina Balraj
• Shriveta Balram
• Jose Rafael Balsa Guerrero, MD
• Maria Gabriela Balsa Guerrero, M.D.
• Deepa Balsara, PHARM.D.
• Blake Baltazar
• Domingo Baltazar, PTA
• Lois Baltes
• Rachael Balthazore, ACNPC-AG

• Speech-Language Pathologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.