Provider Demographics
NPI:1962362350
Name:STEVEN ZARIC BALTRUKONIS PLLC
Entity type:Organization
Organization Name:STEVEN ZARIC BALTRUKONIS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER/LCPC
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ZARIC
Authorized Official - Last Name:BALTRUKONIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:773-841-7693
Mailing Address - Street 1:4649 N KENTON AVE # 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60630-4019
Mailing Address - Country:US
Mailing Address - Phone:773-841-7693
Mailing Address - Fax:
Practice Address - Street 1:4649 N KENTON AVE # 1
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-4019
Practice Address - Country:US
Practice Address - Phone:773-841-7693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty