Individual
BALFOUR GEORGE REDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9303 S VANDERPOEL AVE, SUITE B100, CHICAGO, IL 60643-5853
(773) 595-0505
(773) 233-9010
Mailing address
9303 S VANDERPOEL AVE, SUITE B100, CHICAGO, IL 60643-5853
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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