Individual
DR. DEVESH SANJEEV BALLAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1775 DEMPSTER ST # 48, PARK RIDGE, IL 60068-1143
(847) 723-2210
(847) 723-6987
Mailing address
27 MYRTLEDALE RD, SCARSDALE, NY 10583-7335
(646) 717-0002
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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