Organization
LESZEK J BALLARIN MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESZEK J BALLARIN MD (PHYSICIAN)
(773) 745-7377
Entity
Organization
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
—
—
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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