MEDICARE: ARIKA REBECCA CLARK WARD M.A, CI/CT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171R00000X	Interpreter	2010-00064	IL

General Provider Information

NPI Number	:	1902196215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIKA REBECCA CLARK WARD M.A, CI/CT

Provider Business Mailing Address
First Line	:	1658 N MILWAUKEE AVE # 302
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-6905
Country	:	US
Telephone Number	:	314-412-6121
Fax Number	:

Provider Business Practice Location Address
First Line	:	1658 N MILWAUKEE AVE # 302
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-6905
Country	:	US
Telephone Number	:	314-412-6121
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2011
Last Update Date	:	04/08/2011

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