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Individual

KRISTEN WARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5517 N KENMORE AVE, CHICAGO, IL 60640-1515
(773) 275-7962
Mailing address
5517 N. KENMORE, CHICAGO, IL 60640

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
041324174
IL

Other

Enumeration date
02/26/2016
Last updated
02/26/2016
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