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Alfonso Allan Balleza — NPI 1417769803, Park Ridge, IL | NPI Central

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Alfonso Allan Balleza

NPI 1417769803 · Wound Care Registered Nurse · Park Ridge, IL

Provider details

NPI number: 1417769803
Entity type: Individual
Primary specialty: Wound Care Registered NurseNursing Service Providers
Sex: Male
Sole proprietor: No
License: 041388781 (IL)

Practice location

1480 Renaissance Dr Ste 211

Park Ridge, IL 60068-1353

Phone: (847) 296-6161

Fax: (847) 296-6262

More IL providers

Mailing address

1480 Renaissance Dr Ste 211

Park Ridge, IL 60068-1353

Registry dates

Enumerated: 2025-01-22
Last updated: 2025-01-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.