JOHN THOMAS BALL M.D. NPI 1417034901

NPI Information

NPI: 1417034901
Provider Name: JOHN THOMAS BALL, M.D.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
836 W WELLINGTON AVE BOX 19
CHICAGO, IL
ZIP 60657
Phone: (773) 296-3003
Get Directions

John Thomas Ball, M.D. is a nephrology internal medicine in Chicago, IL. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. John Thomas Ball, M.D. NPI is 1417034901. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

836 W WELLINGTON AVE BOX 19
CHICAGO, IL
ZIP 60657-147
Phone: (773) 296-3003
Fax: (773) 296-3002

The NPI 1417034901 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 2/17/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	036060468	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	31600038	OTHER	ILLINOIS	BLUE SHIELD
2	621360	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
3	D14362	MEDICARE UPIN	ILLINOIS
4	036060468	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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