MEDICARE: DR. ROBERT BALLANTYNE PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	071.008958	IL

General Provider Information

NPI Number	:	1023461993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT BALLANTYNE PSY.D.

Provider Business Mailing Address
First Line	:	1300 W BELMONT AVE STE 400D
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-3200
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 W BELMONT AVE STE 400D
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-3200
Country	:	US
Telephone Number	:	313-307-4772
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2016
Last Update Date	:	04/09/2026

Similar Medicare Providers

1750846317 — DIAMOND GRAHAM TUCKER
Practice Location Address:

1300 W BELMONT AVE STE 400C
CHICAGO, IL
60657-3200

Practice Phone: 773-922-0304
Practice Fax:

1134837354 — BODHI TREE CENTER FOR HOLISTIC THERAPY LLC
Practice Location Address:

1300 W BELMONT AVE STE 400D
CHICAGO, IL
60657-3200

Practice Phone: 313-307-4772
Practice Fax:

1154313294 — MS. DEBORAH FRY L.C.P.C.
Practice Location Address:

1300 W BELMONT AVE , SUITE 216
CHICAGO, IL
60657-3200

Practice Phone: 773-251-1363
Practice Fax: 773-866-2566

1811970213 — MS. SHISHA P AMABEL M.S.
Practice Location Address:

1300 W BELMONT AVE , SUITE 212
CHICAGO, IL
60657-3200

Practice Phone: 773-248-0949
Practice Fax: 312-337-7232

1508805029 — DR. MARIA CONCEPCION REYES M.D.
Practice Location Address:

1300 W BELMONT AVE , SUITE 100
CHICAGO, IL
60657-3200

Practice Phone: 773-975-8900
Practice Fax: 773-975-8901

1861409294 — SHERI F NOVAR LCSW
Practice Location Address:

1300 W BELMONT AVE , #401D
CHICAGO, IL
60657-3200

Practice Phone: 773-697-6874
Practice Fax: 847-492-9381

Directions to “ DR. ROBERT BALLANTYNE PSY.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.