| Ms Pamela A Ballard, DC | |
|
7n315 Sycamore Ave, Medinah, IL 60157-9799 | |
| (630) 307-7463 | |
| (630) 529-0087 |
| Full Name | Ms Pamela A Ballard |
|---|---|
| Gender | Female |
| Speciality | Chiropractor - Rehabilitation |
| Location | 7n315 Sycamore Ave, Medinah, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457576621 | NPI | - | NPPES |
| 02232227 | Other | IL | BLUECROSS BLUESHIELD |
| 208982 | Other | IL | MEDICARE GROUP NO. |
| 038006728 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | 038-006728 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Pamela A Ballard, DC Po Box 460, Medinah, IL 60157-0460 Ph: (630) 529-0077 | Ms Pamela A Ballard, DC 7n315 Sycamore Ave, Medinah, IL 60157-9799 Ph: (630) 307-7463 |
Medinah Spine & Rehabilitation Ltd Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7n315 Sycamore Ave, Medinah, IL 60157 Phone: 630-529-0077 Fax: 630-529-0087 |