Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 036143247 | IL |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | DR0052031 | CO |
NPI | 1043275126 |
---|---|
Provider Name | Joshua J. Ward |
First Address | Warrenville, IL 60555-3845 |
Second Address | Warrenville, IL 60555-3845 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 17/03/2018 |