Bala, Stephen

Bala, Stephen is an sole proprietor health care provider with primary practice located at 3880 Salem Lake Dr Ste F , Long Grove IL 60047-5292. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Bala, Stephen can be contacted via phone (847) 719-2220.

Contact Information

Primary practice address
3880 Salem Lake Dr Ste F Long Grove IL 60047-5292
Phone: (847) 719-2220
Fax: (847) 719-2265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209.023030 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209023030 Illinois

Profile Details

NPI number 1912582339
LBN Legal business name Bala, Stephen
Credentials MSN, APRN, FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2021
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912582339 NPPES
Illinois MEDICAID 209023030

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