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Miriam Balderas

Community Health Worker in Chicago, IL. Individual provider (NPI-1).

NPI number1225845795
StatusActive
Last updated in NPPESDec 17, 2024

Details

NPI
1225845795
Entity type
Individual (NPI-1)
Name
Miriam Balderas
Sex
Female
Sole proprietor
No
Enumeration date
Dec 17, 2024
Certification date
Dec 17, 2024
Last updated
Dec 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

1835 W Harrison St Fl 6
Chicago, IL 60612-3771

Phone 312-914-7308

Mailing address

1835 W Harrison St Fl 6
Chicago, IL 60612-3771

Phone 312-914-7308

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