SUSAN BALLIS

PARK RIDGE, IL
NPI1073682183
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  036100944)
Enumeration Date2006-11-06
Last Update Date2007-07-08
Business Address
-- SUSAN BALLIS
1775 DEMPSTER
PARK RIDGE, IL 60068
Phone number: 847-723-7624
Mailing Address
-- SUSAN BALLIS
1775 DEMPSTER
PARK RIDGE, IL 60068
Phone number: 847-723-7624
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