Organization
MCEWAN & ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK DANIEL MCEWAN APRN-FPA (PRESIDENT)
(773) 809-1531
Entity
Organization
Contact information
Practice address
230 E OHIO STREET, STE 410 #2191, CHICAGO, IL 60611-5288
(773) 809-1531
Mailing address
2435 N SHEFFIELD AVE, STE 9, CHICAGO, IL 60614-2277
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277.000077
STATE LICENSE NUMBER
IL
05
—
=========
—
IL
Enumeration date
11/10/2016
Last updated
10/02/2024
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