Individual
MRS. SUNSHINE JONES BALLENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
651 N YORK ST, ELMHURST, IL 60126-1604
(312) 520-8824
(630) 501-0012
Mailing address
915 N YORK ST APT 603, ELMHURST, IL 60126-1256
(312) 520-8824
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Enumeration date
12/13/2022
Last updated
03/14/2024
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