Balla, Leszek Adam

Balla, Leszek Adam is an individual health care provider with primary practice located at 1701 S 1St Ave Suite 102, Maywood IL 60153-2442. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Balla, Leszek Adam can be contacted via phone (708) 450-5300.

Contact Information

Primary practice address
1701 S 1St Ave Suite 102 Maywood IL 60153-2442
Phone: (708) 450-5300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019-017066 Illinois
Dental Providers / General Practice 1223G0001X 2604-015 Wisconsin
Dental Providers / Dentist 122300000X 019-017066 Illinois

Profile Details

NPI number 1346364411
LBN Legal business name Balla, Leszek Adam
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Apr 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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