# KOMPREHENSIVE PRIMARY CARE SPORTS & MUSCULOSKELETAL MEDICINE S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285966440
- **Authorized official:** DR. MICHAEL G WARD MD (PRESIDENT)
- **Authorized official phone:** (312) 420-3445

## Contact information

- **Practice address:** 2813 W 147TH ST, POSEN, IL 60469-1516
- **Practice address phone:** (708) 396-9777
- **Practice address fax:** (708) 396-9732
- **Mailing address:** 845 E 40TH ST, CHICAGO, IL 60653-2444
- **Mailing address phone:** (312) 420-3445
- **Mailing address fax:** (773) 536-3263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | 036114281 | IL | Yes |

## Other

- **Enumeration date:** 02/12/2010
- **Last updated:** 02/12/2010