Individual
SHARON BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNC
Contact information
Practice address
201 SOUTH 14TH ST., HERRIN HOSPITAL RESPIRATORY DISEASE CLINIC, HERRIN, IL 62948
(618) 942-2171
(618) 351-4945
Mailing address
PO BOX 577, CARTERVILLE, IL 62918-0577
(618) 985-8221
(618) 985-6860
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209005527
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370966854016
—
IL
01
—
CF3444
MEDICARE RAILROAD GROUP
IL
Enumeration date
04/20/2006
Last updated
03/28/2008
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