Individual
SREE BALUSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 N RIVER RD STE 240, DES PLAINES, IL 60016-1272
(847) 391-9033
(847) 391-9177
Mailing address
150 N RIVER RD STE 240, DES PLAINES, IL 60016-1272
(847) 391-9033
(847) 391-9177
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.161294
IL
208D00000X
General Practice Physician
036.161294
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2019
Last updated
12/22/2025
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