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Contact Information

CRYSTAL BALFOUR, PSY.D.
1500 SOUTH CALIFORNIA AVENUE
NR 553
CHICAGO, IL60608
 Phone: 773-257-4750
 Fax: 773-257-4753
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CRYSTAL BALFOUR · (Female)

NPI # 1184919789
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 06/13/2011
Last updated 01/22/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 071.008702
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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