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Organization

ADRIENNE M BALSAM MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADRIENNE M BALSAM MD (CEO)
(847) 933-0455
Entity
Organization

Contact information

Practice address
9669 KENTON AVE, SUITE 209, SKOKIE, IL 60076-1266
(847) 933-0455
Mailing address
9669 KENTON AVE, SUITE 209, SKOKIE, IL 60076-1266
(847) 933-0455

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
IL

Other

Enumeration date
05/18/2006
Last updated
08/22/2020
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