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NPI Code Detail

MEDICARE: CATHERINE WARD

MEDICARE: CATHERINE WARD
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
1133VN1004XPediatric Nutrition Registered Dietitian164.008756IL

General Provider Information

NPI Number : 1164387874
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE WARD
Provider Business Mailing Address
First Line : 1250 S TOWER RD
Second Line :
City : DAWSON
State : IL
Zip : 62520-3189
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4440 W 95TH ST
Second Line :
City : OAK LAWN
State : IL
Zip : 60453-2600
Country : US
Telephone Number : 708-684-1339
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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Directions to “ CATHERINE WARD ” Practice Location

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