Individual
MS. KATIE ANNE BALCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
822 W CULLERTON ST APT 3E, CHICAGO, IL 60608-3621
(616) 446-9651
Mailing address
822 W CULLERTON ST APT 3E, CHICAGO, IL 60608-3621
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085-004119
IL
Other
Enumeration date
09/20/2011
Last updated
04/15/2022
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