Healthcare Provider Details

I. General information

NPI: 1669300513
Provider Name (Legal Business Name): SHARAYNE BALL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 W RAND RD APT 402
ARLINGTON HEIGHTS IL
60004-3147
US

IV. Provider business mailing address

310 W RAND RD APT 402
ARLINGTON HEIGHTS IL
60004-3147
US

V. Phone/Fax

Practice location:
  • Phone: 224-814-2694
  • Fax:
Mailing address:
  • Phone: 224-814-2694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: