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Individual

MS. ERIN BETH BALLMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
700 E GOLF RD, DES PLAINES, IL 60016-2311
(847) 824-8285
(847) 824-1143
Mailing address
205 S HAWTHORNE AVE, ELMHURST, IL 60126-3241
(312) 217-2989

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146006040
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194859975
IL
Enumeration date
11/17/2017
Last updated
11/17/2017
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