institution
Stanley Balowas M.d.
Primary Care Clinic/Center in Chicago, Illinois
NPI 1043679400

Stanley Balowas M.d. is a Primary Care Clinic/Center based in Chicago, IL and is specialized in Primary Care. Stanley Balowas M.d. practices in Chicago, IL. The NPI Number for Stanley Balowas M.d. is 1043679400 and holds a License No. 36071723 (Illinois).

The current practice location address for Stanley Balowas M.d. is 3902 W Diversey Ave, Chicago, IL and can be reached out via phone at 773-283-7535.

Location: 3902 W Diversey Ave, Chicago, IL, 60647-1021
institution
Provider Profile Details
NPI Number
1043679400
Provider Name
Stanley Balowas M.d.
Credential
Provider Entity Type
Organization
Address
3902 W Diversey Ave, Chicago, IL, 60647-1021
Phone Number
773-283-7535
Fax Number
Provider Enumeration Date
02/14/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3902 W Diversey Ave
City
State
Zip
60647-1021
Phone Number
773-283-7535
Fax Number
person
Provider Business Mailing Address Details
Address
3902 W Diversey Ave
City
State
Zip
60647-1021
Phone Number
773-283-7535
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
36071723 (Illinois)
Definition
Definition to come...
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