Organization · Type 2 NPI

Stanley Balowas M.d.

Primary Care Clinic/Center · Chicago, IL

NPI number 1043679400 Active

Practice location

3902 W Diversey Ave
Chicago, IL 60647-1021

Call (773) 283-7535 Map

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X36071723 (IL)

Primary Care Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1043679400

Stanley Balowas M.d.'s National Provider Identifier is 1043679400, issued on Feb 14, 2016. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Chicago, IL. The record was last updated on Feb 14, 2016.