1. Home
  2. Directory
  3. Illinois
  4. Park Ridge
  5. Registered Nurse
  6. NPI Profile

MR. ALFONSO ALLAN M BALLEZA II
NPI 1417769803
Registered Nurse - Wound Care in Park Ridge, IL

Active since January 22, 2025
1480 RENAISSANCE DR STE 211, PARK RIDGE, IL 60068(847) 296-6161(847) 296-6262 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Alfonso Allan M Balleza Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ALFONSO ALLAN M BALLEZA II (NPI 1417769803) is an individual wound care provider in Park Ridge, Illinois, licensed in Illinois (041388781) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1417769803
Entity TypeIndividualMale
Primary Taxonomy163WW0000X
Provider Legal NameMR. ALFONSO ALLAN M BALLEZA II
Location Address1480 RENAISSANCE DR STE 211Park Ridge, IL 60068-1353
Mailing Address1480 Renaissance Dr Ste 211Park Ridge, IL 60068-1353 · (847) 296-6161 · Fax (847) 296-6262
Phone(847) 296-6161
Fax(847) 296-6262
Sole ProprietorNo
Enumeration DateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
✔ NPI 1417769803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Wound CareNursing Service Providers
Taxonomy Code163WW0000X
License✔ Licensed in IL · 041388781
1480 RENAISSANCE DR STE 211, Park Ridge, IL 60068
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN SALGADO
Registered Nurse (Wound Care)
1480 RENAISSANCE DR STE 211
PARK RIDGE, IL 60068
Cook County (847) 296-6161
NOVA MEDICO S.C.
Physical Medicine & Rehabilitation (Pain Medicine)
1480 RENAISSANCE DR STE 211
PARK RIDGE, IL 60068
Cook County (847) 296-6161
JIMMY ANDRADA ORINION NP
Nurse Practitioner
1480 RENAISSANCE DR STE 211
PARK RIDGE, IL 60068
Cook County (847) 296-6161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alfonso Allan Balleza's NPI number?

The NPI number for Alfonso Allan Balleza is 1417769803. It was assigned to this individual provider in the NPPES registry on January 22, 2025.

Where is Alfonso Allan Balleza located?

Alfonso Allan Balleza practices at 1480 Renaissance Dr Ste 211, Park Ridge, IL 60068. The listed phone number is (847) 296-6161.

What is Alfonso Allan Balleza's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Wound Care, with taxonomy code 163WW0000X.

When was this NPI record last updated?

The NPPES record for Alfonso Allan Balleza was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.