NPI 1073682183

Susan Ballis

Practitioner Emergency Medicine Physician Park Ridge, IL

Practice location

Address: 1775 Dempster, Park Ridge, IL 60068
Phone: (847) 723-7624

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X

Other Emergency Medicine providers in Illinois →

Registry record

NPI: 1073682183
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.