Gabriel McKay Ward, DO
Emergency Medicine in Maywood, IL. Individual provider (NPI-1).
NPI number1669232575
StatusActive
Last updated in NPPESJun 18, 2024
Details
- NPI
- 1669232575
- Entity type
- Individual (NPI-1)
- Name
- Gabriel McKay Ward
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2024
- Certification date
- Jun 18, 2024
- Last updated
- Jun 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 125.084708 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2160 S 1st AveMaywood, IL 60153-3328
Phone 864-497-4002
Mailing address
2160 S 1st AveMaywood, IL 60153-3328
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