Ward, Kathleen A

Ward, Kathleen A is an individual health care provider with primary practice located at 2160 S First Ave (Mcgaw Ent., Rm. 47), Maywood IL 60153. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Ward, Kathleen A can be contacted via phone (708) 216-5221.

Contact Information

Primary practice address
2160 S First Ave (Mcgaw Ent., Rm. 47) Maywood IL 60153
Fax: (708) 216-0899
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 36064863 Illinois

Profile Details

NPI number 1336126218
LBN Legal business name Ward, Kathleen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Mar 5th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336126218 NPPES
Illinois MEDICAID 36064863

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