JAMES L BALLARD

PARK RIDGE, IL
NPI1821140583
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: IL  238000003)
Enumeration Date2007-01-16
Last Update Date2012-02-07
Business Address
Mr. JAMES L BALLARD CSA
1231 BROPHY AVENUE
PARK RIDGE, IL 60068-5225
Phone number: 847-698-2154
Mailing Address
Mr. JAMES L BALLARD CSA
1231 S BROPHY
PARK RIDGE, IL 60068-5225
Phone number: 847-698-2154
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