Individual
ANKEDO E WARDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH, MMS
Contact information
Practice address
701 N 1ST ST, SPRINGFIELD, IL 62702-3757
(217) 545-6155
(217) 545-1793
Mailing address
PO BOX 19638, SPRINGFIELD, IL 62794-9638
(217) 545-6155
(217) 545-1793
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
125084205
IL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
125084205
IL
Other
Enumeration date
06/14/2023
Last updated
06/11/2024
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