Individual
ALEXANDRA BALABANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
036.169788
IL
2084N0400X
Neurology Physician
Primary
036.169788
IL
2084N0400X
Neurology Physician
125075977
IL
2084N0600X
Clinical Neurophysiology Physician
036.169788
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2020
Last updated
07/31/2026
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