Active NPI
Kristina Marie Ward, M.D.
- Pediatrics Physician
- Lincolnshire, IL
National Provider Identifier
1184885964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036.134696
- Practice address
- 185 N. Milwaukee Ave
Suite 220
Lincolnshire, IL 60069 - Phone
- (847) 821-9500
- Fax
- (847) 821-9501
- NPI assigned
- Jun 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101249331 | VA | |
| Pediatrics Physician | 208000000X | 036.134696 | IL | Primary |
Addresses
Primary practice location
185 N. Milwaukee Ave
Suite 220
Lincolnshire, IL 60069
Mailing address
185 N. Milwaukee Ave.
Suite 220
Lincolnshire, IL 60069
Phone (847) 821-9500
Other names 1
- Ms. Kristina Marie Wolf
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.134696 | IL | MD | Pediatrics Physician |
| 0101249331 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ann & Robert H. Lurie Children'S Hospital of Chicago | Current | Accepting new patients | |
| Premier Pediatrics, S.C. | Pediatrics | Past | Accepting new patients |
| Pediatrust, L.L.C. | Pediatrics | Past | Accepting new patients |
| OB-Gyne Associates of Lake Forest, LTD. | Past | Accepting new patients |
Interoperability endpoints
- kward234378@direct.myadvocateaurora.org
- kward130604@direct.luriechildrens.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Children's Hospital
- Chicago, IL
- NPI 1235234535
-
- Specialist
- Lake Forest, IL
- NPI 1417093808
-
- Pediatrics Physician
- Lake Forest, IL
- NPI 1982958013
-
- Pediatrics Physician
- Lincolnshire, IL
- NPI 1841311503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1184885964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 N. MILWAUKEE AVE.",
"address_2": "SUITE 220",
"city": "LINCOLNSHIRE",
"state": "IL",
"postal_code": "60069",
"telephone_number": "847-821-9500",
"fax_number": "847-821-9501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 N. MILWAUKEE AVE",
"address_2": "SUITE 220",
"city": "LINCOLNSHIRE",
"state": "IL",
"postal_code": "60069",
"telephone_number": "847-821-9500",
"fax_number": "847-821-9501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "KRISTINA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-24",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101249331",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036.134696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINA",
"last_name": "WOLF",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lincolnshire, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.