Most Relevant Information
Provider Data
| NPI Number: | 1003832189 |
| Provider Name: | JERRY WARD CARGILL MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/14/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
556 E GRANT HWY
MARENGO
IL
601523346
Practice Location Phone/Fax
| Phone: | 8155687313 |
| Fax: | 8155680151 |
Provider Mailing Location
556 E GRANT HWY
MARENGO
IL
601523346
Provider Mailing Phone/Fax
| Phone: | 8155687313 |
| Fax: | 8155680151 |
Suggested EMR
Internist EMR