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STEPHANIE BALUKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
6337 S WOODLAWN AVE, CHICAGO, IL 60637-3707
(773) 753-5500
Mailing address
3620 HARRISON AVE, BROOKFIELD, IL 60513-1514
(708) 701-3776

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-006816
IL

Other

Enumeration date
11/14/2018
Last updated
04/21/2021
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