Individual
MR. JAMES L BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
1231 BROPHY AVENUE, PARK RIDGE, IL 60068-5225
(847) 698-2154
(847) 698-0954
Mailing address
1231 S BROPHY, PARK RIDGE, IL 60068-5225
(847) 698-2154
(847) 698-0954
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
238000003
IL
Other
Enumeration date
01/16/2007
Last updated
02/07/2012
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