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

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
Show map & directions

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

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