Individual provider · Type 1 NPI

James L. Ballard, CSA

Surgical Physician Assistant · Park Ridge, IL

NPI number 1821140583 Active

Practice location

1231 Brophy Avenue
Park Ridge, IL 60068-5225

Call (847) 698-2154 Map

Fax (847) 698-0954

Mailing address

1231 S Brophy
Park Ridge, IL 60068-5225

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X238000003 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1821140583

James L. Ballard, CSA's National Provider Identifier is 1821140583, issued on Jan 16, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Park Ridge, IL. The record was last updated on Feb 7, 2012.