Individual
MS. ANTRELENE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14439 S. DANTE, DOLTON, IL 60419-1907
(708) 655-5972
Mailing address
14439 DANTE AVE, DOLTON, IL 60419-1911
(708) 655-5972
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
041370735
IL
163W00000X
Registered Nurse
Primary
041370735
IL
Other
Enumeration date
05/28/2013
Last updated
06/06/2013
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