Individual
DR. DARREN BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17901 GOVERNORS HWY STE 106, HOMEWOOD, IL 60430-1145
(708) 799-3305
Mailing address
17901 GOVERNORS HWY STE 106, HOMEWOOD, IL 60430-1145
(708) 799-3305
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
0360144348
IL
207RG0100X
Gastroenterology Physician
Primary
62299
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467652560
—
WI
Enumeration date
07/18/2007
Last updated
03/17/2018
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