Individual
KELLY MARIE BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
25901 N RIVERWOODS RD, METTAWA, IL 60045-3403
(847) 235-1313
Mailing address
25901 N RIVERWOODS RD, METTAWA, IL 60045-3403
(847) 235-1313
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009632
IL
152W00000X
Optometrist
OPC 3774
FL
Other
Enumeration date
05/16/2006
Last updated
11/01/2021
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