MEDICARE: CHRISTOPHER W BALLARD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	036110162	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	820900	OTHER		MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164428165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER W BALLARD M.D.

Provider Business Mailing Address
First Line	:	213 NW 10TH ST
Second Line	:	SUITE A
City	:	FAIRFIELD
State	:	IL
Zip	:	62837-1219
Country	:	US
Telephone Number	:	618-842-4617
Fax Number	:	618-842-4743

Provider Business Practice Location Address
First Line	:	213 NW 10TH STREET
Second Line	:	SUITE A
City	:	FAIRFIELD
State	:	IL
Zip	:	62837
Country	:	US
Telephone Number	:	618-842-4617
Fax Number	:	618-842-4743

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	03/03/2021

Similar Medicare Providers

1033115043 — DR. ANDREW MICHAEL BRITT D.O
Practice Location Address:

503A N 1ST ST
FAIRFIELD, IL
62837-2443

Practice Phone: 618-842-2491
Practice Fax: 618-842-2497

1104822725 — ELIZABETH M SWEET-FRIEND M.D.
Practice Location Address:

1007 W MAIN ST
FAIRFIELD, IL
62837-2308

Practice Phone: 618-842-4470
Practice Fax: 618-842-3437

1093712622 — KENNETH J SCHWEISS P.A.
Practice Location Address:

209 NW 11TH ST
FAIRFIELD, IL
62837-1218

Practice Phone: 618-842-4470
Practice Fax: 618-842-3437

1912904574 — SOUTHERN ILLINOIS PRIMARY CARE ASSOCIATES, P.C.
Practice Location Address:

209 NW 11TH ST
FAIRFIELD, IL
62837-1218

Practice Phone: 618-842-4470
Practice Fax: 618-842-3437

1740287226 — JED W JONES D.O.
Practice Location Address:

1007 W MAIN ST
FAIRFIELD, IL
62837-2308

Practice Phone: 618-842-4470
Practice Fax: 618-842-3437

1568469971 — WESLEY D THOMPSON M.D.
Practice Location Address:

213 NW 10TH ST
FAIRFIELD, IL
62837-1219

Practice Phone: 618-842-4617
Practice Fax: 618-842-4743

Directions to “ CHRISTOPHER W BALLARD M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.