ALFONSO ALLAN M BALLEZA

PARK RIDGE, IL
NPI1417769803
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WW0000X Registered Nurse, Wound Care
(Licence: IL  041388781)
Enumeration Date2025-01-22
Last Update Date2025-01-22
Business Address
Mr. ALFONSO ALLAN M BALLEZA
1480 RENAISSANCE DR STE 211
PARK RIDGE, IL 60068-1353
Phone number: 847-296-6161
Mailing Address
Mr. ALFONSO ALLAN M BALLEZA
1480 RENAISSANCE DR STE 211
PARK RIDGE, IL 60068-1353
Phone number: 847-296-6161
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