Individual provider · Type 1 NPI

Pearl Ballard

Registered Nurse · Dolton, IL

NPI number 1386512069 Active

Practice location

14714 State St
Dolton, IL 60419-1517

Fax (708) 267-3088

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	041296287 (IL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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Department of Health and Human ServicesMental Health Clinic/Center (Including Community Mental Health Center) Dolton, IL NPI 1457883431

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About NPI 1386512069

Pearl Ballard's National Provider Identifier is 1386512069, issued on Oct 25, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Dolton, IL. The record was last updated on Oct 25, 2025.