SearchIllinois363AS0400X

James Ballard, CSA

NPI 1821140583 · on the registry since 2007 · sole proprietor

Practice

Address
1231 Brophy Avenue
Park Ridge, IL 60068
Phone
(847) 698-2154
Fax
(847) 698-0954

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-02-07

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