Individual
KATHLEEN A WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 W 47TH ST, SUITE1, LA GRANGE, IL 60525-6141
(708) 698-4563
(708) 361-7968
Mailing address
1400 W 47TH ST, SUITE1, LA GRANGE, IL 60525-6141
(708) 698-4563
(708) 361-7968
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036-071078
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036071078
—
IL
Enumeration date
08/30/2006
Last updated
06/12/2015
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