Provider Demographics
NPI:1225670151
Name:WARD, MARGARET SHARICE
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:SHARICE
Last Name:WARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1995 W MEADOWVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ROUND LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60073-9793
Mailing Address - Country:US
Mailing Address - Phone:224-388-1202
Mailing Address - Fax:
Practice Address - Street 1:1995 W MEADOWVIEW DR
Practice Address - Street 2:
Practice Address - City:ROUND LAKE
Practice Address - State:IL
Practice Address - Zip Code:60073-9793
Practice Address - Country:US
Practice Address - Phone:224-388-1202
Practice Address - Fax:847-201-2661
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-11
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle