Individual provider · NPI-1

Anita Balodis, MD AAFP

Family Medicine · Elmhurst, IL

NPI number1447394374
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1447394374
Entity type
Individual (NPI-1)
Name
Ms. Anita Balodis
Credential
MD AAFP
Sex
Female
Sole proprietor
No
Enumeration date
Feb 16, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine036044463ILYes

Practice location

103 Haven Rd
Elmhurst, IL 60126

Phone 630-833-0280 · Fax 630-833-4803

Mailing address

103 Haven Rd
Elmhurst, IL 60126

Phone 630-833-0280 · Fax 630-833-4803

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