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DR. ANTOANETA Y BALABANOV MD

Physicians Psychiatry & Neurology Neurology

Provider NPI: 1770578304

Provider Information:
DR. ANTOANETA Y BALABANOV MD
Gender: F
Not Sole Proprietor

Practice Location:
1725 W HARRISON ST SUITE 1106 CHICAGO, IL 60612-3841 US
Tel: 312-942-5936  Fax: 312-942-2380

Business Mailing Address:
1653 W CONGRESS PKWY SUITE 348 MURDOCK CHICAGO, IL 60612-3833 US
Tel: 312-942-6203  Fax: 312-942-2238

NPI Information:
NPI: 1770578304
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2084N0400XPhysicians
Psychiatry & Neurology
Neurology
IL036103242
N2084N0600XPhysicians
Psychiatry & Neurology
IL036103242

Other Provider Identifiers:

IssuerNumberStateType
US DEPT OF JUSTICEBB727243201
036103242IL05
IL DEPT OF PROF REG336064985IL01



American Medical Association 2012 taxonomy code information

Code: 2084N0400X

Type:

Classification:



Definition:



MEDICAL JOBS IL - Page 1

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