Individual
DR. LESZEK J BALLARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7045 W BELMONT AVE, CHICAGO, IL 60634-4539
(773) 745-7377
(773) 745-7397
Mailing address
7045 W BELMONT AVE, CHICAGO, IL 60634-4539
(773) 745-7377
(773) 745-7397
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036103966
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103966
—
IL
Enumeration date
07/27/2005
Last updated
11/18/2009
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