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Individual

DANIEL BALIKOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
4822 S COTTAGE GROVE AVE STE 2-300, CHICAGO, IL 60061
(312) 695-8150
(312) 921-1071
Mailing address
4822 S COTTAGE GROVE AVE STE 2-300, CHICAGO, IL 60061
(312) 695-8150
(312) 921-1071

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME161907
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
036176089
IL

Other

Enumeration date
06/24/2019
Last updated
08/28/2025
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