Individual
MR. REGINALD E BALLARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2305 185TH PL, LANSING, IL 60438
(708) 368-0550
Mailing address
2501 CHATHAM RD # R, SPRINGFIELD, IL 62704-4188
(844) 727-8883
Taxonomy
Speciality
Code
Description
License number
State
2278P4000X
Patient Transport Certified Respiratory Therapist
Primary
—
—
Other
Enumeration date
12/10/2017
Last updated
10/18/2023
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