Organization
BALLARD NURSING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK PICK (VICE PRESIDENT)
(847) 294-2308
Entity
Organization
Contact information
Practice address
9300 W BALLARD RD, DES PLAINES, IL 60016-4904
(847) 294-2300
(847) 299-4012
Mailing address
9300 W BALLARD RD, DES PLAINES, IL 60016-4904
(847) 294-2300
(847) 299-4012
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0023093
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
733
BLUE CROSS NUMBER
IL
Enumeration date
05/27/2006
Last updated
03/16/2010
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