Organization
SUBURBAN X-RAY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA A BALLARD DC (PRESIDENT)
(630) 529-0077
Entity
Organization
Contact information
Practice address
3113 CALWAGNER ST, FRANKLIN PARK, IL 60131-2622
(630) 529-0077
Mailing address
7N315 SYCAMORE AVE, MEDINAH, IL 60157-9799
(630) 529-0077
(630) 529-0087
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
060-006504
IL
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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