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Daniel Ballard
NPI 1598063778 · on the registry since 2011
Practice
- Address
- 19530 Kedzie Ave
Flossmoor, IL 60422 - Phone
- (708) 754-8815
- Fax
- (708) 798-1315
- Organisation at this address
- Grand Prairie Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 68
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-03-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois