Doctor Name: | MARY FRITZSCHE WARD |
NPI Number: | 1295846707 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 146-000821 |
Business Practice Address: | 1480 Reckinger Rd Aurora, IL - 605051624 |
Business Phone Number: | 6302997590 |
Business Fax Number: | 6302997591 |
Mailing Address: | 8001 Lincoln Ave, 8th Floor SKOKIE |
State: | IL |
Postal Code: | 600773695 |
Phone Number: | 7703250319 |
Fax Number: | 8663869429 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 08/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146-000821 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |