Amory S Balucating, MS, CCRN, CRNA, APN
Nurse Anesthetist, Certified Registered in Evanston, IL. Individual provider (NPI-1).
NPI number1922342484
StatusActive
Last updated in NPPESAug 26, 2026
Details
- NPI
- 1922342484
- Entity type
- Individual (NPI-1)
- Name
- Mr. Amory S Balucating
- Credential
- MS, CCRN, CRNA, APN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2012
- Certification date
- Aug 26, 2026
- Last updated
- Aug 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209010290 | IL | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | 2013006995 | MO | |
| 367500000X | Nurse Anesthetist, Certified Registered | NA95000296 | CA | |
| 367500000X | Nurse Anesthetist, Certified Registered | 25253 | WI | |
| 367500000X | Nurse Anesthetist, Certified Registered | 95000296 | CA | |
| 367500000X | Nurse Anesthetist, Certified Registered | 2708 | MN |
Practice location
2650 Ridge AveEvanston, IL 60201-1700
Phone 847-570-2000
Mailing address
2650 Ridge AveEvanston, IL 60201-1700
Phone 847-570-2000
Other practice locations
5421 Crossview Ln
Lake In The Hills, IL 60156-5884
Lake In The Hills, IL 60156-5884
Phone 224-858-7491
1425 N Randall Rd
Elgin, IL 60123-2300
Elgin, IL 60123-2300
Phone 847-742-9800
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