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1730308776
STEVE BALLIS
PARK RIDGE, IL
NPI
1730308776
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019.020831)
Enumeration Date
2007-04-25
Last Update Date
2012-08-21
Business Address
Dr. STEVE BALLIS D.D.S.
123 S NORTHWEST HWY
PARK RIDGE, IL 60068-4243
Phone number: 847-823-6600
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Mailing Address
Dr. STEVE BALLIS D.D.S.
1025 W EVERETT RD
LAKE FOREST, IL 60045-2697
Phone number: 847-457-9200
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