Healthcare Provider Details

I. General information

NPI: 1124179882
Provider Name (Legal Business Name): KAREN M BALZANTO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 S WASHINGTON ST
NAPERVILLE IL
60540-7430
US

IV. Provider business mailing address

35W301 LAMBERT AVE
ST CHARLES IL
60174-4918
US

V. Phone/Fax

Practice location:
  • Phone: 630-527-3355
  • Fax: 630-527-5018
Mailing address:
  • Phone: 630-587-0884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License Number036-090616
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036-090616
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: