Organization · Type 2 NPI
Susan C Balberde, Md,sc
Primary Care Clinic/Center · River Grove, IL
NPI number
1295165256
Active
Practice location
8330 Grand Ave
River Grove, IL 60171-1435
Mailing address
5524 N Pioneer Ave
Chicago, IL 60656-1546
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 036046845 (IL) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
Other primary care clinic/center providers in River Grove
About NPI 1295165256
Susan C Balberde, Md,sc's National Provider Identifier is 1295165256, issued on Nov 12, 2013. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in River Grove, IL. The record was last updated on Nov 12, 2013.