Doctor Name: | CORAZON BALBARIN |
NPI Number: | 1376654020 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 1106 Neal Ave Joliet, IL - 604332548 |
Business Phone Number: | 8157278670 |
Business Fax Number: | |
Mailing Address: | 3519 Bankview Dr, JOLIET |
State: | IL |
Postal Code: | 604314803 |
Phone Number: | 8157412807 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |