# SUBURBAN X-RAY, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437435807
- **Authorized official:** PAMELA A BALLARD DC (PRESIDENT)
- **Authorized official phone:** (630) 529-0077

## Contact information

- **Practice address:** 3113 CALWAGNER ST, FRANKLIN PARK, IL 60131-2622
- **Practice address phone:** (630) 529-0077
- **Mailing address:** 7N315 SYCAMORE AVE, MEDINAH, IL 60157-9799
- **Mailing address phone:** (630) 529-0077
- **Mailing address fax:** (630) 529-0087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 060-006504 | IL | Yes |

## Other

- **Enumeration date:** 10/28/2011
- **Last updated:** 10/28/2011