Organization
SUSAN C BALVERDE MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN C BALVERDE M.D. (PRESIDENT)
(708) 544-9690
Entity
Organization
Contact information
Practice address
675 W NORTH AVE, SUITE 410, MELROSE PARK, IL 60160-1634
(708) 544-9690
Mailing address
675 W NORTH AVE, SUITE 410, MELROSE PARK, IL 60160-1634
(708) 544-9690
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036046845
IL
Other
Enumeration date
11/21/2008
Last updated
11/21/2008
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