Individual
MRS. RUCHI RANI BALANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17495 LA GRANGE RD, TINLEY PARK, IL 60487-7581
(708) 406-3243
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085003871
IL
363AM0700X
Medical Physician Assistant
Primary
085-003871
IL
Other
Enumeration date
09/24/2010
Last updated
06/21/2023
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