DR. TALHA JOHN BALOCH


Address: 12255 S 80th Ave, Palos Heights, IL 60463-1270
Phone: 7089237878

DR. TALHA JOHN BALOCH (NPI# 1548640535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548640535
Entity Type Individual
Full Name DR. TALHA JOHN BALOCH
Credential M.D.
Practice Address 12255 S 80th Ave
Palos Heights
IL 60463-1270
Mailing Address 12251 S 80th Ave Ste 1630
Palos Heights
IL 60463-1256
Practice Telephone 7089237878
Practice Fax Number 7089237888
Mailing Telephone 7089237878
Mailing Fax Number 7089237888
Enumeration Date 2015-06-04
Last Update Date 2020-08-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084A0401X Psychiatry & Neurology
Specialization: Addiction Medicine
036144624 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036144624 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
901 W Jefferson St, Springfield, IL 627024833 2175458229 2175452275

Office Location

Street Address 12255 S 80TH AVE
City PALOS HEIGHTS
State IL
Zip Code 60463-1270

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356330286 Bruce R Dolitsky Orthopaedic Surgery 12255 S 80th Ave, Palos Heights, IL 60463-1270 2005-10-13
1699387910 Wilma Montilla-rener Nurse Practitioner 12255 S 80th Ave, Palos Heights, IL 60463-1270 2020-08-18
1780048058 Debora Delre Nurse Practitioner 12255 S 80th Ave, Suite 202, Palos Heights, IL 60463-1258 2016-04-12
1306203757 Shelley Kay Mayer-zich Nurse Practitioner 12255 S 80th Ave, Palos Heights, IL 60463-1270 2016-01-15
1881078392 Radhika Chimata Psychiatry & Neurology 12255 S 80th Ave, Palos Heights, IL 60463-1270 2015-07-14
1326482688 Anmol Tolani Psychiatry & Neurology 12255 S 80th Ave, Palos Heights, IL 60463-1270 2013-04-17
1558625251 Anthony Casini Surgery 12255 S 80th Ave, Palos Heights, IL 60463 2012-06-27
1548532591 Darlene C Flowers Nurse Practitioner 12255 S 80th Ave, Palos Heights, IL 60463-1270 2012-02-07
1760776173 Imad Qayyum Surgery 12255 S 80th Ave, Palos Heights, IL 60463-1270 2011-06-02
1720243025 Sameen Ahmad Psychiatry & Neurology 12255 S 80th Ave, Palos Heights, IL 60463-1270 2008-07-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932756095 Kim Rusiecki Technician 25 Parliament Drive East, Palos Heights, IL 60463 2019-08-23
1265925218 Sentinel Anesthesia of Illinois, PC Anesthesiology 7340 W College Dr Fl 1, Palos Heights, IL 60463 2018-06-13
1225410848 Deborah Ann Castaneda Skilled Nursing Facility 12350 Natchez Ave., Palos Heights, IL 60463 2015-06-19
1609253160 Tareq Ayyad Physical Therapy Assistant 11730 Lighthouse Ln, Palos Heights, IL 60463 2015-05-04
1366846503 Ryan Teahen Dentist 7600 W College Dr Ste 17, Palos Heights, IL 60463 2014-10-17
1295140309 Paul Park Ophthalmology 7600 W College Dr Ste 9, Palos Heights, IL 60463 2014-06-26
1275976045 Nazim A. Khan Physician Assistant 6450 West College Drive, Palos Heights, IL 60463 2013-04-11
1619246824 Amanda M Ejka Psychologist 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 2011-12-16
1578832937 Sandi Maheras Pharmacist 1703 Spyglass Cir, Palos Heights, IL 60463 2011-12-14
1043597065 Ashraf Olwan Pharmacist 7660 W Sequoia Rd, Palos Heights, IL 60463 2011-11-04
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Taxonomy Information

Taxonomy Code 2084A0401X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Addiction Medicine

Taxonomy Definition

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144741844 Rose Medical Association, Inc. Psychiatry & Neurology 209 W Romeo B Garrett Ave, Peoria, IL 61605-2502 2017-07-03
1215208491 Fred M Levin Md Sc Psychiatry & Neurology 111 N. Wabash Avenue, Suite 1022, Chicago, IL 60602-1903 2012-01-20
1568525277 Usha D Malkerneker Psychiatry & Neurology 17100 Dixie Hwy Ste D, Hazel Crest, IL 60429-1485 2006-12-18
1891899258 Kenneth Lawrence Moore Psychiatry & Neurology 12 Tartan Ridge Rd, Burr Ridge, IL 60527-8904 2006-09-07
1508979758 Charles R Harris Psychiatry & Neurology 12230 Cashlenan Ln, New Lenox, IL 60451-2799 2006-08-15
1255340097 Michael Rachman Psychiatry & Neurology 1375 E Schaumburg Road, Suite 260, Schaumburg, IL 60194-3658 2006-08-07
1245217959 Raymond Christopher Garcia Psychiatry & Neurology 8616 Northern Ave, Rockford, IL 61107-5309 2005-12-23
1184610107 Lucy Ibrahim Psychiatry & Neurology 1280 Windham Pkwy, Romeoville, IL 60446-1673 2005-09-26
1528681764 Holon Inclusive Behavioral Health Psychiatry & Neurology 301 S Main St, Dupo, IL 62239-1325 2020-05-21
1013555416 Mathers Recovery LLC Psychiatry & Neurology 81 E Grand Ave, Fox Lake, IL 60020-1557 2019-12-16
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Competitor

Search similar providers

City PALOS HEIGHTS
Zip Code 60463

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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