Ballard, Jonathan Hartley

Ballard, Jonathan Hartley is an individual health care provider with primary practice located at 1775 Dempster St , Park Ridge IL 60068-1143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ballard, Jonathan Hartley can be contacted via phone (847) 723-5577.

Contact Information

Primary practice address
1775 Dempster St Park Ridge IL 60068-1143
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-115563 Illinois

Profile Details

NPI number 1225078595
LBN Legal business name Ballard, Jonathan Hartley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated May 19th, 2022 - about 2 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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