SUSAN C BALBERDE MDSC NPI 1295165256

NPI Information

  • NPI: 1295165256
  • Provider Name: SUSAN C BALBERDE, MD,SC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 8330 GRAND AVE
    RIVER GROVE, IL
    ZIP 60171
  • Phone: (708) 681-3000

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NPI Details

SUSAN C BALBERDE, MD,SC is a primary care clinic center in River Grove, IL. SUSAN C BALBERDE, MD,SC NPI is 1295165256. The provider is registered as an organization entity type.

The provider's business location address is:

8330 GRAND AVE
RIVER GROVE, IL
ZIP 60171-435
Phone: (708) 681-3000

The provider's authorized official is Susan Balverde .
The authorized official title is President and has the following contact phone number (773) 525-4511.

The enumeration date for this NPI number is 11/12/2013 and was last updated on 11/12/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care036046845ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1473280MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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