Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael J Balthazor, PHD

Individual provider Clinical Psychologist · NPI 1386882793

Michael J Balthazor, PHD is a Clinical Psychologist in Skokie, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

4711 Golf Rd Ste 1100
Skokie, IL 60076-1224
Phone: (847) 933-9339
Fax: (847) 933-0874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071-006684 (IL)

Record details

NPI number1386882793
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 23, 2009
Last updated in NPPESJanuary 23, 2009
Mailing address4711 Golf Rd, Suite 1100, Skokie, IL 60076-1224

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