Susan Ballis

NPI #1073682183 in Park Ridge, Illinois

Provider Information

NPI Number: 1073682183
Entity Type: Individual
Name: Susan Ballis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Enumeration Date: Nov 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1775 DEMPSTER
City: Park Ridge
State: Illinois
ZIP Code: 60068
Phone: (847) 723-7624

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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