Individual
MR. MARSHALL GEORGE BALDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
356 N LAKE ST, AURORA, IL 60506-4186
(630) 896-5005
(630) 896-5087
Mailing address
356 N LAKE ST, AURORA, IL 60506-4186
(630) 896-5005
(630) 896-5087
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0455090002
DME
IL
Enumeration date
04/19/2006
Last updated
07/08/2007
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