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Individual

ABIGAIL EILEEN WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
750 PASQUINELLI DR STE 204, WESTMONT, IL 60559-1291
(630) 560-0136
Mailing address
750 PASQUINELLI DR STE 204, WESTMONT, IL 60559-1291

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015761
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1378071
ILLINOIS STATE BOARD OF EDUCATION
IL
Enumeration date
06/17/2024
Last updated
06/17/2024
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