-- DIANA BALLARD --
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1790226231- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 721 S QUENTIN RD, PALATINE, IL, 600676778
- Phone
- (847) 485-3064
Specialties & Taxonomies
Counselor, Professional
Primary License: IL #180.010821
All Addresses
MAILING
721 S QUENTIN RD
PALATINE, IL, 600676778