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NPI Code Detail

MEDICARE: BHAVNA BALANEY MD

MEDICARE:   BHAVNA  BALANEY  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician036137323IL
2390200000XStudent in an Organized Health Care Education/Training Program
3207RC0000XCardiovascular Disease Physician036137323IL

General Provider Information

NPI Number : 1083913255
Entity Type Code : Individual
Provider Name (Legal Business Name) : BHAVNA BALANEY MD
Provider Business Mailing Address
First Line : 2734 W 87TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60652-3937
Country : US
Telephone Number : 773-918-4700
Fax Number :
Provider Business Practice Location Address
First Line : 2734 W 87TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60652-3937
Country : US
Telephone Number : 773-918-4700
Fax Number : 872-213-5685
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2011
Last Update Date : 08/14/2019

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Directions to “ BHAVNA BALANEY MD” Practice Location

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