Individual
MRS. HEATHER VARGO BALLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
7235 W. 79TH STREET, BRIDGEVIEW, IL 60455
(708) 594-6611
(708) 594-0249
Mailing address
7235 W. 79TH STREET, BRIDGEVIEW, IL 60455
(708) 594-6611
(708) 594-0249
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-287032
IL
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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