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Search › Illinois › 163WW0000X

Alfonso Allan Balleza

NPI 1417769803 · on the registry since 2025

Practice

Address
1480 Renaissance Dr Ste 211
Park Ridge, IL 60068
Phone
(847) 296-6161
Fax
(847) 296-6262
Organisation at this address
Sbpt Inc
Vyadom Inc
Nova Medico S.C.
Homecare Docs Llc
Homecare Doctors Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
163WW0000X
163WW0000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois