Jose Baltazar's National Provider Identifier (NPI) Details
Jose Baltazar, MSW,LCSW
NPI: 1184840837
Enumeration Date: 2007-04-18
Last updated: 2007-07-08
Sole Proprietor: YES
Status: active
Postal Address: 1520 N ROCK RUN DR, SUITE 22, CREST HILL, IL
Phone: 815-730-8900
Primary Practice Address: 1520 N ROCK RUN DR, SUITE 22, CREST HILL, IL
Practice's phone: 815-730-8900