Organization
GARY P. BALAS, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA SPANNAGEL (BUSINESS COORDINATOR)
(847) 259-4244
Entity
Organization
Contact information
Practice address
1430 N ARLINGTON HEIGHTS RD, SUITE 202, ARLINGTON HTS, IL 60004-4830
(847) 259-4244
(847) 259-4225
Mailing address
1430 N ARLINGTON HEIGHTS RD, SUITE 202, ARLINGTON HTS, IL 60004-4830
(847) 259-4244
(847) 259-4225
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020217
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326176348
INDIVIDUAL NPI NUMBER
IL
Enumeration date
07/15/2008
Last updated
09/09/2008
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