Individual
MRS. LORI PAIGE BALCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
6702 GODFREY RD, GODFREY, IL 62035-2205
(618) 467-1520
Mailing address
6702 GODFREY RD, GODFREY, IL 62035-2205
(618) 467-1520
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.023988
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
209023988
IL
Other
Enumeration date
10/15/2019
Last updated
05/08/2026
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