Ball, John Thomas

Ball, John Thomas is an sole proprietor health care provider with primary practice located at 836 W Wellington Ave Box 19 , Chicago IL 60657-5147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Ball, John Thomas can be contacted via phone (773) 296-3003.

Contact Information

Primary practice address
836 W Wellington Ave Box 19 Chicago IL 60657-5147
Phone: (773) 296-3003
Fax: (773) 296-3002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036060468 Illinois

Profile Details

NPI number 1417034901
LBN Legal business name Ball, John Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Feb 17th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417034901 NPPES
Illinois MEDICAID 036060468
Illinois Other 31600038

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