Individual
MS. LAVINIA RALUCA BALDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6110 W ROSCOE ST, CHICAGO, IL 60634-4145
(312) 384-9373
Mailing address
6110 W ROSCOE ST, CHICAGO, IL 60634-4145
(312) 384-9373
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.008024
IL
Other
Enumeration date
04/14/2020
Last updated
03/02/2021
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