Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 209010261 | IL |
NPI | 1043541766 |
---|---|
Provider Name | Allyson Nicole Ward |
First Address | Chicago, IL 60613-2200 |
Second Address | Chicago, IL 60611-2991 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2010 |
Last Update Date | 16/08/2013 |