Balabanov, Alexandra
Balabanov, Alexandra is an individual health care provider with primary practice located at 1725 W Harrison St 970, Chicago IL 60612. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Balabanov, Alexandra can be contacted via phone (312) 563-3447.Contact Information
Primary practice address
1725 W Harrison St 970
Chicago IL 60612
Phone: (312) 563-3447
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 125075977 | Illinois |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036.169788 | Illinois |
Profile Details
NPI number | 1144857327 |
---|---|
LBN Legal business name | Balabanov, Alexandra |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 26th, 2020 |
Last updated | May 6th, 2024 - about 6 months 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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