DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ALFONSO ALLAN M BALLEZA II

Active

MR. ALFONSO ALLAN M BALLEZA II is a Wound Care Nurse healthcare provider located in PARK RIDGE, Illinois. NPI 1417769803 is currently active in the NPPES registry. Verify at CMS.

Wound Care Nurse · PARK RIDGE, IL

Registration Details

NPI Number
1417769803
Provider Type
Individual
Gender
Male
NPI Issued
Jan 22, 2025 (1.5896291072586 yrs)
Last Updated
Jan 22, 2025
License
041388781 (IL)

Practice Information

Address
1480 RENAISSANCE DR STE 211
PARK RIDGE, IL, 600681353
Browse IL providers · Browse ZIP 60068
Phone
8472966161
Fax
8472966262
Primary Specialty
Wound Care Nurse
163WW0000X

Other Wound Care Nurse Providers in PARK RIDGE, IL

Name Credential NPI
BRIAN SALGADO 1376369025
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.