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Organization
EWN, INC
Active
Organization
EWN, INC
Active
Other names
Creekwood Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC WARD NOLAN MD (CHILD AND ADOLESCENT PSYCHIATRIST)
(314) 223-2993
Entity
Organization
Contact information
Practice address
240 S 5TH AVE, SUITE B, ST CHARLES, IL 60174-2905
(314) 223-2993
Mailing address
40W615 STONEBRIAR LN, ELGIN, IL 60124-8162
(314) 223-2993
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036-121-588
IL
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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