Individual
CHRISTOPHER LEE BALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
420 N. IL ROUTE 31, CRYSTAL LAKE, IL 60012
(815) 788-2018
(815) 356-5262
Mailing address
420 N IL ROUTE 31, CRYSTAL LAKE, IL 60012-3709
(815) 356-5200
(815) 356-5262
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006120
IL
363AS0400X
Surgical Physician Assistant
085.006120
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085006120
STATE LICENSE
IL
Enumeration date
01/23/2017
Last updated
03/19/2026
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