ELIZA BALLEN

LAKE BLUFF, IL
NPI1831707298
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IL  085.007728)
Enumeration Date2020-07-21
Last Update Date2020-07-21
Business Address
ELIZA BALLEN Physician Assistant
335 SYLVAN RD
LAKE BLUFF, IL 60044-2562
Phone number: 847-220-1283
Mailing Address
ELIZA BALLEN Physician Assistant
335 SYLVAN RD
LAKE BLUFF, IL 60044-2562
Phone number: 847-220-1283
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