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Organization

MARIA BALKOURA MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARIA H BALKOURA M.D. (PRESIDENT)
(312) 944-3857
Entity
Organization

Contact information

Practice address
1. E. SUPERIOR ST, SUITE 210, CHICAGO, IL 60611-2594
(312) 944-3857
(312) 944-8404
Mailing address
1. E. SUPERIOR ST, SUITE 210, CHICAGO, IL 60611-2594
(312) 944-3857
(312) 944-8404

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36042786
IL
Enumeration date
03/02/2007
Last updated
11/26/2007
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