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NPI Code Detail

MEDICARE: MRS. CAITLIN MCGILL WARD MSN, FNP-BC, BSN, RN

MEDICARE: MRS. CAITLIN MCGILL WARD MSN, FNP-BC, BSN, RN
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
1363LF0000XFamily Nurse Practitioner209011663IL

General Provider Information

NPI Number : 1649670183
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAITLIN MCGILL WARD MSN, FNP-BC, BSN, RN
Provider Business Mailing Address
First Line : 2233 KENILWORTH AVE
Second Line :
City : WILMETTE
State : IL
Zip : 60091-1523
Country : US
Telephone Number : 847-420-3438
Fax Number :
Provider Business Practice Location Address
First Line : 3637 N SOUTHPORT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60613-3709
Country : US
Telephone Number : 773-348-5282
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2014
Last Update Date : 05/02/2016

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