Individual
DR. BRIAN EUGENE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 SPRINGFIELD DR STE 310, BLOOMINGDALE, IL 60108-2215
(630) 967-2225
(630) 545-7892
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-2000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036150554
IL
207X00000X
Orthopaedic Surgery Physician
276618
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036150554
—
IL
Enumeration date
03/27/2013
Last updated
08/29/2023
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