Ballard, Darren

Ballard, Darren is an individual health care provider with primary practice located at 17901 Governors Hwy Ste 106 , Homewood IL 60430-1145. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Ballard, Darren can be contacted via phone (708) 799-3305.

Contact Information

Primary practice address
17901 Governors Hwy Ste 106 Homewood IL 60430-1145
Phone: (708) 799-3305
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0360144348 Illinois
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 62299 Wisconsin

Profile Details

NPI number 1467652560
LBN Legal business name Ballard, Darren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2007
Last updated Mar 17th, 2018 - about 7 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 1467652560 NPPES
Wisconsin MEDICAID 1467652560

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