Ballard, Rachel Rushton

Ballard, Rachel Rushton is an individual health care provider with primary practice located at 225 E Chicago Ave Box 10, Chicago IL 60611-2991. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Ballard, Rachel Rushton can be contacted via phone (312) 227-6650.

Contact Information

Primary practice address
225 E Chicago Ave Box 10 Chicago IL 60611-2991
Fax: (312) 227-9656
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036.134917 Illinois
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 036.134917 Illinois

Profile Details

NPI number 1750487914
LBN Legal business name Ballard, Rachel Rushton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Mar 7th, 2023 - about last year

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 1750487914 NPPES
Texas Other D0117424 DPS
Texas Other K9720 DPS
Texas MEDICAID 047715004 DPS
Texas Other TXB111024 DPS

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