Individual
BRIAN LEE BALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
333 W 35TH ST, CHICAGO, IL 60616-3651
(312) 674-1000
(312) 674-5602
Mailing address
16365 CARAWAY CT, LOCKPORT, IL 60441-4757
(815) 588-1516
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
10/09/2005
Last updated
07/08/2007
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