Individual
ANTHONY J BALESTERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7447 W TALCOTT AVE, SUITE 262, CHICAGO, IL 60631-3745
(773) 775-1900
(773) 775-8034
Mailing address
7447 W TALCOTT AVE, SUITE 262, CHICAGO, IL 60631-3745
(773) 775-1900
(773) 775-8034
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
36044309
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01607483
BS
IL
05
—
036044309
—
IL
Enumeration date
08/23/2005
Last updated
11/10/2009
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