Individual
DR. SANJEEV BALAMOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1875 DEMPSTER ST STE 301, PARK RIDGE, IL 60068-1127
(847) 685-1000
(847) 685-6685
Mailing address
1875 DEMPSTER ST STE 301, PARK RIDGE, IL 60068-1127
(847) 685-1000
(847) 685-6685
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036145758
IL
207Y00000X
Otolaryngology Physician
TRN19036
IN
Other
Enumeration date
06/19/2013
Last updated
02/26/2020
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