Individual
ESTELITA BALANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1401 S CALIFORNIA AVE, CHICAGO, IL 60608-1858
(773) 522-2010
Mailing address
1401 S CALIFORNIA AVE, CHICAGO, IL 60608-1858
(773) 522-2010
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.007753
IL
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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