Ballis, Susan

Ballis, Susan is an individual health care provider with primary practice located at 1775 Dempster , Park Ridge IL 60068. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Ballis, Susan can be contacted via phone (847) 723-7624.

Contact Information

Primary practice address
1775 Dempster Park Ridge IL 60068
Phone: (847) 723-7624
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X Illinois

Profile Details

NPI number 1073682183
LBN Legal business name Ballis, Susan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Jul 8th, 2007 - about 17 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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