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Contact Information

PEARL BALLARD
14714 STATE ST
DOLTON, IL60419-1517
 Phone: 708-267-3088
 Fax: 708-267-3088
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for PEARL BALLARD · (Female)

NPI # 1386512069
Status Active
Credentials
Entity Individual
Enumeration date 10/25/2025
Last updated 10/25/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 041296287
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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