| Tonya Lyshonna Ballard, | |
|
7718 S Cornell Ave Fl 2, Chicago, IL 60649-4510 | |
| (573) 528-9260 | |
| Not Available |
| Full Name | Tonya Lyshonna Ballard |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 7718 S Cornell Ave Fl 2, Chicago, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073147625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 227.019064 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tonya Lyshonna Ballard, 7718 S Cornell Ave Fl 2, Chicago, IL 60649-4510 Ph: (573) 528-9260 | Tonya Lyshonna Ballard, 7718 S Cornell Ave Fl 2, Chicago, IL 60649-4510 Ph: (573) 528-9260 |
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