Balverde, Susan Calvadores

Balverde, Susan Calvadores is an individual health care provider with primary practice located at 675 W North Ave Suite 410, Melrose Park IL 60160-1634. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as her primary health care specialty. Balverde, Susan Calvadores can be contacted via phone (708) 544-9690.

Contact Information

Primary practice address
675 W North Ave Suite 410 Melrose Park IL 60160-1634
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 036046845 Illinois

Profile Details

NPI number 1760567192
LBN Legal business name Balverde, Susan Calvadores
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Nov 20th, 2008 - about 17 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 1760567192 NPPES
Illinois MEDICAID 036046845

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