Individual
CAROLINA B STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 E 72ND ST, CHICAGO, IL 60619-1511
(773) 759-0590
(773) 891-5538
Mailing address
1501 E 72ND ST, CHICAGO, IL 60619-1511
(773) 759-0590
(773) 891-5538
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041404747
IL
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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