Individual provider · Type 1 NPI

Casem Ballouk, MD

General Practice Physician · Chicago, IL

NPI number 1649851924 Active

Practice location

7531 S Stony Island Ave Ste 164
Chicago, IL 60649-3954

Mailing address

3990 John R St
Detroit, MI 48201-2018

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X4301510121 (IL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1649851924

Casem Ballouk, MD's National Provider Identifier is 1649851924, issued on Apr 18, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Chicago, IL. The record was last updated on Aug 24, 2026.