Individual
CHRISTOPHER W BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
213 NW 10TH STREET, SUITE A, FAIRFIELD, IL 62837
(618) 842-4617
(618) 842-4743
Mailing address
213 NW 10TH ST, SUITE A, FAIRFIELD, IL 62837-1219
(618) 842-4617
(618) 842-4743
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036110162
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110162
—
IL
01
—
820900
MEDICARE GROUP
—
Enumeration date
06/23/2005
Last updated
03/03/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us