Individual
ROBERT S BALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1228 N TOWANDA AVENUE, BLOOMINGTON, IL 61701-3469
(309) 662-3937
(309) 662-1205
Mailing address
1228 N TOWANDA AVENUE, BLOOMINGTON, IL 61701-3469
(309) 662-3937
(309) 662-1205
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
IL
Other
Enumeration date
06/14/2005
Last updated
07/08/2007
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