Individual
RAVEN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 EXECUTIVE DR, FAIRVIEW HEIGHTS, IL 62208-1345
(618) 791-4693
Mailing address
8 EXECUTIVE DR, FAIRVIEW HEIGHTS, IL 62208-1345
(618) 791-4693
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
IL
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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