Individual
MARC KIRIT BALATERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, RN, CNL
Contact information
Practice address
600 S PAULINA ST STE 1080, CHICAGO, IL 60612-3806
(312) 942-7117
Mailing address
11224 BRADDOCK DR, CULVER CITY, CA 90230-4807
(310) 993-8618
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
95112768
CA
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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