Individual provider · NPI-1

Malgorzata Balaban, APN-CNP

Nurse Practitioner · Evanston, IL

NPI number1346612140
StatusActive
Last updated in NPPESMay 14, 2026

Details

NPI
1346612140
Entity type
Individual (NPI-1)
Name
Mrs. Malgorzata Balaban
Credential
APN-CNP
Sex
Female
Sole proprietor
No
Enumeration date
Oct 20, 2015
Certification date
May 14, 2026
Last updated
May 14, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner209012713ILYes
363LA2100X Nurse Practitioner, Acute Care209012713IL

Practice location

2650 Ridge Ave
# 1223
Evanston, IL 60201-1718

Phone 847-570-2600

Mailing address

2650 Ridge Ave
# 1223
Evanston, IL 60201-1718

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