| Doctor Name: | CARRIE BALIAN |
| NPI Number: | 1417133760 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 52560707 |
| Business Practice Address: | 180 Hansen Ct Wood Dale, IL - 601911121 |
| Business Phone Number: | 6305958200 |
| Business Fax Number: | |
| Mailing Address: | 180 Hansen Ct, WOOD DALE |
| State: | IL |
| Postal Code: | 601911121 |
| Phone Number: | 6305958200 |
| Fax Number: | |
| NPI Enumeration Date: | 01/17/2008 |
| NPI Last Update Date: | 01/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355S0801X |
| License Number: | 52560707 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Speech-Language Assistant |
| Taxonomy Definition: | |