Eliza Ballen, PHYSICIAN ASSISTANT
NPI #1831707298 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1831707298
- Entity Type
- Individual
- Name
- Eliza Ballen, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Jul 21, 2020
- Last Updated
- Nov 7, 2024
Practice Location
- Address
- 1000 N WESTMORELAND RD
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-1658
- Phone
- (847) 582-2134
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
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