ELIZA BALLEN (NPI# 1831707298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831707298 |
| Entity Type | Individual |
| Full Name | ELIZA BALLEN |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
335 Sylvan Rd Lake Bluff IL 60044-2562 |
| Practice Telephone | 8472201283 |
| Mailing Telephone | 8472201283 |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085.007728 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
335 SYLVAN RD |
| City | LAKE BLUFF |
| State | IL |
| Zip Code | 60044-2562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013494236 | Therese Ann Hejazinia | Nurse Practitioner | Westmoreland Obgyn Associate, 917 Sherwood Dr. Suite 200, Lake Bluff, IL 60044 | 2018-07-20 |
| 1558745067 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 975 Rockland Road, Lake Bluff, IL 60044 | 2015-07-14 |
| 1720416274 | Angela Marcotte | Physical Therapist | 600 Basil Rd, Lake Bluff, IL 60044 | 2013-10-21 |
| 1821339482 | Lake Bluff Family Eye Care, Inc. | Optometrist | 755 Rockland Road, Suite 201, Lake Bluff, IL 60044 | 2013-03-07 |
| 1700126067 | Nicole Teresa Genbauer | Counselor | 900 North Shore Drive Suite 120, Lake Bluff, IL 60044 | 2013-02-25 |
| 1336426337 | Howard Wayne Siegel | Pharmacist | 12700 W Rockland, Lake Bluff, IL 60044 | 2011-11-04 |
| 1811121494 | Wendy Lou Mccarty | Marriage & Family Therapist | 655 Rockland Road, 207, Lake Bluff, IL 60044 | 2009-05-11 |
| 1346485927 | Cheryl Jackson Od PC | Optometrist | 10 E. Scranton Ave, Suite 203, Lake Bluff, IL 60044 | 2008-12-10 |
| 1184847279 | Allied Counseling Services PC | Psychologist | 49 Sherwood Terrace, Ste T, Lake Bluff, IL 60044 | 2007-04-10 |
| 1306911854 | Kari Christopherson Falls | Social Worker | 21 N Skokie Blvd, Associates In Therapy Assessment LLC Suite 203, Lake Bluff, IL 60044 | 2006-11-21 |
| Find all providers in zip 60044 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144659392 | Sarah Anne Lupa | Physician Assistant | 925 Sherwood Dr, Lake Bluff, IL 60044-2203 | 2013-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477177947 | Rybecca Janovyak | Physician Assistant | 14432 High Rd, Lockport, IL 60441-9402 | 2020-06-01 |
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1801429873 | Hinjal D Jha | Physician Assistant | 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010-2542 | 2020-02-19 |
| 1770120222 | Alvina Shaikh | Physician Assistant | 4009 Warren Ave, Bellwood, IL 60104-2066 | 2019-12-03 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1538705272 | Bethany Mae Frisby | Physician Assistant | 8630 W Golf Rd, Niles, IL 60714-5600 | 2019-11-18 |
| 1134761984 | Ella-marie Rakowski | Physician Assistant | 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 | 2019-10-14 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1518514066 | Victoria Moore | Physician Assistant | 979 W Main St, West Dundee, IL 60118-2088 | 2019-08-20 |
| 1063072973 | John Riley Clark | Physician Assistant | 2700 Light Rd Apt 102, Oswego, IL 60543-9231 | 2019-06-13 |
| Find all providers with the same taxonomy | ||||
| City | LAKE BLUFF |
| Zip Code | 60044 |
Please comment or provide details below to improve the information on ELIZA BALLEN.
| 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.