Individual
MRS. GENEVIEVE ELIZABETH BALCERAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3123 EUGENE LN, AURORA, IL 60504-7281
(630) 820-6591
Mailing address
3123 EUGENE LN, AURORA, IL 60504-7281
(630) 820-6591
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
B42628578699
IL
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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