Organization
STACIE WARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACIE R WARD RN, MS, CNS (APN-HF CLINIC)
(708) 684-5234
Entity
Organization
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5234
(708) 684-4097
Mailing address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5234
(708) 684-4097
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
IL
Other
Enumeration date
02/19/2008
Last updated
02/27/2008
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