Individual
MS. ERICA LYNN OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5527 W THOMAS ST, CHICAGO, IL 60651-2714
(773) 474-8096
Mailing address
5527 W THOMAS ST, CHICAGO, IL 60651-2714
(773) 474-8096
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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