Ballard, Rachel Rushton
Ballard, Rachel Rushton is an individual health care provider with primary practice located at 225 E Chicago Ave Box 10, Chicago IL 60611-2991. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Ballard, Rachel Rushton can be contacted via phone (312) 227-6650.Contact Information
Primary practice address
225 E Chicago Ave Box 10
Chicago IL 60611-2991
Phone: (312) 227-6650
Fax: (312) 227-9656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036.134917 | Illinois |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 036.134917 | Illinois |
Profile Details
| NPI number | 1750487914 |
|---|---|
| LBN Legal business name | Ballard, Rachel Rushton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750487914 | NPPES |
| Texas | Other | D0117424 | DPS |
| Texas | Other | K9720 | DPS |
| Texas | MEDICAID | 047715004 | DPS |
| Texas | Other | TXB111024 | DPS |
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