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Individual

PAUL R BALASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4400 W 95TH ST STE 413, OAK LAWN, IL 60453-2662
(708) 346-4055
(708) 499-0948
Mailing address
4400 W 95TH ST STE 413, OAK LAWN, IL 60453-2662
(708) 346-4055

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036129228
IL

Other

Enumeration date
06/22/2009
Last updated
12/10/2021
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