Balbarin, Grant Theodore

Balbarin, Grant Theodore is an sole proprietor health care provider with primary practice located at 4201 W Chase Ave , Lincolnwood IL 60712-1935. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Balbarin, Grant Theodore can be contacted via phone (847) 287-4666.

Contact Information

Primary practice address
4201 W Chase Ave Lincolnwood IL 60712-1935
Phone: (847) 287-4666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209015171 Illinois
Nursing Service Providers / Registered Nurse 163W00000X 041.331615 Illinois

Profile Details

NPI number 1891237095
LBN Legal business name Balbarin, Grant Theodore
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2016
Last updated Nov 21st, 2016 - about 9 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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