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NPI Code Detail

MEDICARE: EVAN JAMES WARD DO

MEDICARE: EVAN JAMES WARD DO
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
1208000000XPediatrics Physician02009083AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598469504
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVAN JAMES WARD DO
Provider Business Mailing Address
First Line : PO BOX 719094
Second Line :
City : CHICAGO
State : IL
Zip : 60677-9318
Country : US
Telephone Number : 317-777-6435
Fax Number : 317-777-6644
Provider Business Practice Location Address
First Line : 705 RILEY HOSPITAL DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-5109
Country : US
Telephone Number : 317-944-5000
Fax Number : 317-777-6644
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2023
Last Update Date : 07/02/2026

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