Ballou, Carol
Ballou, Carol is an sole proprietor health care provider with primary practice located at 501 W Ogden Ave Ste 6 , Hinsdale IL 60521-3184. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Ballou, Carol can be contacted via phone (630) 321-9590.Contact Information
Primary practice address
501 W Ogden Ave Ste 6
Hinsdale IL 60521-3184
Phone: (630) 321-9590
Fax: (630) 920-0931
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036-058329 | Illinois |
Profile Details
NPI number | 1144304874 |
---|---|
LBN Legal business name | Ballou, Carol |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 25th, 2006 |
Last updated | Mar 28th, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144304874 | NPPES |
Illinois | Other | 022-26656 | BLUE CROSS BLUE SHIELD |
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