Individual
M. BALASUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
506 E STATE PKWY, SCHAUMBURG, IL 60173-4538
(847) 885-5220
(847) 755-5170
Mailing address
506 E STATE PKWY, SCHAUMBURG, IL 60173-4538
(847) 885-5220
(847) 755-5170
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
C139181
CA
207ZD0900X
Dermatopathology (Pathology) Physician
LT17656
ND
207ZP0101X
Anatomic Pathology Physician
36046825
IL
Other
Enumeration date
03/09/2007
Last updated
09/27/2023
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