Individual
DR. BARI ALEXIS PARKS-BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
31 W 155TH ST, HARVEY, IL 60426-3556
(708) 596-5177
(708) 339-3583
Mailing address
31 W 155TH ST, HARVEY, IL 60426-3556
(708) 596-5177
(708) 339-3583
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036.085147
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085147
—
IL
01
—
203979
MEDICARE PTAN
IL
Enumeration date
06/12/2006
Last updated
03/11/2021
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