Individual
SUSAN R BALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, RR 307, INDIANAPOLIS, IN 46202-5109
(317) 274-2172
(317) 274-3031
Mailing address
PO BOX 719094, CHICAGO, IL 60677-9318
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
01042632
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100383310
—
IN
05
—
1780793869
—
MI
05
—
1780793869
—
VT
05
—
64882319
—
KY
Enumeration date
08/30/2006
Last updated
04/13/2026
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