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1730463282
TANIA S BALABANOVA
CHICAGO, IL
NPI
1730463282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: WI 56342-20)
Enumeration Date
2011-10-03
Last Update Date
2021-07-13
Business Address
TANIA S BALABANOVA MD
8420 W BRYN MAWR AVE STE 300
CHICAGO, IL 60631-3436
Phone number: 708-831-8282
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Mailing Address
TANIA S BALABANOVA MD
PO BOX 443
BEDFORD PARK, IL 60499-0443
Phone number: 708-831-8282
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