Parks-Ballard, Bari Alexis

Parks-Ballard, Bari Alexis is an individual health care provider with primary practice located at 31 W 155Th St , Harvey IL 60426-3556. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Parks-Ballard, Bari Alexis can be contacted via phone (708) 596-5177.

Contact Information

Primary practice address
31 W 155Th St Harvey IL 60426-3556
Fax: (708) 339-3583
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036.085147 Illinois

Profile Details

NPI number 1972545358
LBN Legal business name Parks-Ballard, Bari Alexis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Mar 11th, 2021 - about 4 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 1972545358 NPPES
Illinois Other 203979 MEDICARE PTAN
Illinois MEDICAID 036085147 MEDICARE PTAN

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