Active NPI
Heather Vargo Ballack, PHARM.D
- Pharmacist
- Bridgeview, IL
National Provider Identifier
1295057073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051-287032
- Practice address
- 7235 W. 79TH Street
Bridgeview, IL 60455 - Phone
- (708) 594-6611
- Fax
- (708) 594-0249
- NPI assigned
- Feb 22, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051-287032 | IL | Primary |
Addresses
Primary practice location
7235 W. 79TH Street
Bridgeview, IL 60455
Mailing address
7235 W. 79TH Street
Bridgeview, IL 60455
Phone (708) 594-6611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-287032 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1295057073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7235 W. 79TH STREET",
"city": "BRIDGEVIEW",
"state": "IL",
"postal_code": "60455",
"telephone_number": "708-594-6611",
"fax_number": "708-594-0249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7235 W. 79TH STREET",
"city": "BRIDGEVIEW",
"state": "IL",
"postal_code": "60455",
"telephone_number": "708-594-6611",
"fax_number": "708-594-0249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLACK",
"first_name": "HEATHER",
"middle_name": "VARGO",
"name_prefix": "Mrs.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-22",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-287032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeview, IL
- American Current Care of Illinois PC
- American Physical Therapy PC
- Nader Atieh, PHARMD
- Sousan Ayyad, M.A., LPC
- Christine Marie Baggiani-Floros, MSW, LCSW, ACM
- Barbara R Moline, MSW, LCSW. LTD.
- Kathleen E Barrett, PHARM.D.
- Valerie Lynn Bennecke, D.D.S.
- Angela Bertucci, OTR/L
- Katherine Leigh Bertucci, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.