| Street | 7000 Carpenter Rd | ||
| City/Town | Skokie | ||
| State/Province/Region | Illinois | ||
| Zip/Postal Code | 60077 | ||
| Phone Number | (847) 763-1683 | ||
| Country | United States |
| Full Name | Ward Prohaska | ||
| Gender | male | ||
| Birthday | 1974-01-06 | ||
| Social Security Number | 149-23-6553 |
| Credit card brand | Diners Club | ||
| Credit card number | 3032283792365783 | ||
| Expire | 2030/11 | ||
| CVV | 209 |