Individual
WASSIM BALLANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3545 W 95TH ST, EVERGREEN PARK, IL 60805-2135
(708) 346-5562
Mailing address
3545 W 95TH ST, EVERGREEN PARK, IL 60805-2135
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036127267
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036127267
IL
Other
Enumeration date
03/10/2009
Last updated
12/20/2021
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