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NPI Profile for CAROL P WARDLAW in BLUE ISLAND, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Care |
163WP2201X |
| NPI # | 1194942029 |
|
| Status | Active | |
| Credentials | RN,APN | |
| Entity | Individual | |
| Enumeration date | 04/20/2007 | |
| Last updated | 06/07/2012 - About 14 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CAROL P WARDLAW
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