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Contact Information

SUSAN C BALVERDE, MD
675 W NORTH AVE
SUITE 410
MELROSE PARK, IL60160-1634
 Phone: 708-544-9690
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for SUSAN C BALVERDE · (Female)

NPI # 1760567192
Status Active
Credentials MD
Entity Individual
Enumeration date 10/26/2006
Last updated 11/20/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036046845
  • IL Medicaid 036046845
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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