Organization
PULLEY AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA A STEWART (DEVELOPENTAL THERAPIST)
(773) 407-7558
Entity
Organization
Contact information
Practice address
1501 E 72ND ST, CHICAGO, IL 60619-1511
(773) 407-7558
(312) 528-0105
Mailing address
1501 E 72ND ST, CHICAGO, IL 60619-1511
(773) 407-7558
(312) 528-0105
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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