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1013777515
JOSEPH BALLARD
CHICAGO, IL
NPI
1013777515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 125.083809)
Enumeration Date
2024-03-21
Last Update Date
2024-05-20
Business Address
Mr. JOSEPH BALLARD
1740 W TAYLOR ST
CHICAGO, IL 60612-7232
Phone number: 866-600-2273
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Mailing Address
Mr. JOSEPH BALLARD
820 S WOOD ST STE 100
CHICAGO, IL 60612-4325
Phone number: 312-996-2933
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