SearchIllinois235Z00000X

Lisa Balder, 146.005379

NPI 1598143174 · on the registry since 2015 · sole proprietor

Practice

Address
4651 Tolliver Rd
New Berlin, IL 62670
Phone
(217) 341-5418

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-05-14

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