Individual
LEONEL ANTONIO BALCARCEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
815 S BELL AVE, CHICAGO, IL 60612-3567
(872) 899-0645
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.085029
IL
207R00000X
Internal Medicine Physician
Primary
125085029
IL
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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