Balter, Paul

Balter, Paul is an individual health care provider with primary practice located at 855 Madison St , Oak Park IL 60302-4420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Balter, Paul can be contacted via phone (708) 386-1000.

Contact Information

Primary practice address
855 Madison St Oak Park IL 60302-4420
Phone: (708) 386-1000
Fax: (708) 386-2394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036040403 Illinois

Profile Details

NPI number 1053313072
LBN Legal business name Balter, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Nov 10th, 2020 - about 4 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 1053313072 NPPES
Illinois MEDICAID 036040403

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