Individual
BHAVNA BALANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2734 W 87TH ST, CHICAGO, IL 60652-3937
(773) 918-4700
(872) 213-5685
Mailing address
2734 W 87TH ST, CHICAGO, IL 60652-3937
(773) 918-4700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036137323
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036137323
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2011
Last updated
08/14/2019
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