Tracy J Baloun in Wheeling - Developmental Therapist
Tracy J Baloun - NPI 1376728931
Tracy J Baloun is a Developmental Therapist in Wheeling, Illinois. Tracy J Baloun practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Tracy J Baloun is 1376728931. The last update date is 2008-01-02.
Tracy J Baloun's current location address is 509 Longtree Drive, Wheeling, Illinois. You can contact this provider via phone number 8479472102. The mailing address for Tracy J Baloun is 509 Longtree Drive, Wheeling, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy J Baloun |
|---|---|
| Address | 509 Longtree Drive, Wheeling, Illinois |
| Phone Number | 8479472102 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DT |
NPI Number Detail
| NPI Number | 1376728931 |
|---|---|
| Provider Enumeration Date | 2008-01-02 |
| Last Updated Date | 2008-01-02 |
Provider Mailing Address Detail
| Address | 509 Longtree Drive |
|---|---|
| City | Wheeling |
| State | Illinois (IL) |
| Post Code | 60090 |
| Phone Number | 8479472102 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
| Licence No | JB64100107P |
|
Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
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What is the unique 10-digit identification code assigned to Tracy J Baloun by the Centers for Medicare & Medicaid Services?
The Tracy J Baloun has been issued the NPI (National Provider Identifier) 1376728931, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Tracy J Baloun located?
The Tracy J Baloun is located at 509 Longtree Drive, Wheeling, IL 60090.
What is Tracy J Baloun's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tracy J Baloun is Developmental Therapist, and the taxonomy code that classifies this field of practice is 222Q00000X.
On what date was the 1376728931 assigned to Tracy J Baloun?
The Tracy J Baloun was issued its 1376728931 on 2008-01-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Tracy J Baloun's details last updated?
The information pertaining to the Tracy J Baloun, including its address, specialty, and other details, was most recently updated on 2008-01-02.
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