Individual provider · Type 1 NPI
Rachael Balthazore, ACNPC-AG
Nurse Practitioner · Chicago, IL
Practice location
676 N Saint Clair St Ste 2140
Chicago, IL 60611-3143
Fax (312) 695-3644
Other practice locations
- 5841 S Maryland Ave, Chicago, IL 60637-1443 · (888) 824-0200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209027881 (IL) |
| Acute Care Nurse Practitioner | 363LA2100X | 041449506 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1386336790
Rachael Balthazore, ACNPC-AG's National Provider Identifier is 1386336790, issued on May 24, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Dec 19, 2025.