Individual provider · Type 1 NPI

Devesh Sanjeev Ballal

Student in an Organized Health Care Education/Training Program · Park Ridge, IL

NPI number 1629773486 Active

Practice location

1775 Dempster St # 48
Park Ridge, IL 60068-1143

Fax (847) 723-6987

Mailing address

27 Myrtledale Rd
Scarsdale, NY 10583-7335

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629773486

Devesh Sanjeev Ballal's National Provider Identifier is 1629773486, issued on Apr 3, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Park Ridge, IL. The record was last updated on Apr 3, 2023.