Vicki Ballard is a Pediatrics in Olney, Illinois. Vicki Ballard practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Vicki Ballard is 1487769634. The last update date is 2007-07-08.
Vicki Ballard's current location address is 723 E Main St, Olney, Illinois. You can contact this provider via phone number 6183937732 and fax number 6183953123. The mailing address for Vicki Ballard is 723 E Main St, Olney, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vicki Ballard |
|---|---|
| Address | 723 E Main St, Olney, Illinois |
| Phone Number | 6183937732 |
| Fax Number | 6183953123 |
| Sole Proprietor | N |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1487769634 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 723 E Main St |
|---|---|
| City | Olney |
| State | Illinois (IL) |
| Post Code | 624502619 |
| Phone Number | 6183937732 |
| Fax Number | 6183953123 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 163Wp0200X |
| Licence No | 41184984 |
|
Definition: A registered nurse who cares for infant, child, and adolescent patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8030288 | IL | BLUECROSS/BLUESHIELD IL |
Post Comment/ Review Below
Where is the Vicki Ballard located?
The Vicki Ballard is located at 723 E Main St, Olney, IL 624502619.
Could you please provide the complete physical location address of Vicki Ballard?
The Vicki Ballard is physically situated at 723 E Main St, in the city of Olney, state of IL, with the postal code 624502619.
What is the area of specialization for Vicki Ballard, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Vicki Ballard is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 163Wp0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1487769634 to Vicki Ballard?
The Vicki Ballard received its 1487769634 assignment from the Centers for Medicare & Medicaid Services on 2006-08-20.
When was the Vicki Ballard's information last updated?
The Vicki Ballard's information was last updated on 2007-07-08.