Organization
KOMPREHENSIVE PRIMARY CARE SPORTS & MUSCULOSKELETAL MEDICINE S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL G WARD MD (PRESIDENT)
(312) 420-3445
Entity
Organization
Contact information
Practice address
2813 W 147TH ST, POSEN, IL 60469-1516
(708) 396-9777
(708) 396-9732
Mailing address
845 E 40TH ST, CHICAGO, IL 60653-2444
(312) 420-3445
(773) 536-3263
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
036114281
IL
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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