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

Rachael Balthazore, ACNPC-AG

Individual provider Nurse Practitioner · NPI 1386336790

Rachael Balthazore, ACNPC-AG is a Nurse Practitioner in Chicago, Illinois. Qualified in 2023, 3 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2023
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

676 N Saint Clair St Ste 2140
Chicago, IL 60611-3143
Phone: (312) 695-3800
Fax: (312) 695-3644
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5841 S Maryland Ave, Chicago, IL 60637-1443 — (888) 824-0200

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209027881 (IL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 041449506 (IL)

Record details

NPI number1386336790
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNPC-AG
Sole proprietorYes
NPI enumeratedMay 24, 2023
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Chicago