Christopher Balmaceda | Chicago, IL • PECOS Search

Christopher Balmaceda

Social Worker

Behavioral Health & Social Service Providers

1030 N Clark St, Suite 303, Chicago, IL 60610-5467

PECOS Enrollment

Based on the most recent information from CMS, provider Christopher Balmaceda does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1265812002
Provider Type
Individual
Full Name
Balmaceda, Christopher
Title
Mr.
Credential
LCSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
6/7/2015
Last Updated
1/5/2016

Contact Information

Practice Location

1030 N Clark St, Suite 303, Chicago, IL 60610-5467

Unlisted Fax

Mailing Location

1030 N Clark St, Suite 303, Chicago, IL 60610-5467

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 149016813 Illinois