Individual
DR. KELLY JANE BALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., L.P.
Contact information
Practice address
333 N MICHIGAN AVE, SUITE 1900, CHICAGO, IL 60601-3901
(773) 321-2761
Mailing address
916 W DIVERSEY PKWY, UNIT 305, CHICAGO, IL 60614-1884
(608) 412-0626
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009051
IL
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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