Individual
ALEXA BALZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
9440 KENTON AVE, SKOKIE, IL 60076-1338
(847) 676-9000
Mailing address
868 EAST AVE, PARK RIDGE, IL 60068-2728
(847) 767-1713
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146013113
IL
Other
Enumeration date
05/19/2016
Last updated
08/22/2021
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