| NPI | 1790043982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SEAN BALLARD Owner/Audiologist 217-779-9058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IL 147.000916) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-04-25 |