Individual
HYRIN OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16014 SAWYER AVE, MARKHAM, IL 60428-4528
(708) 299-3041
Mailing address
16014 SAWYER AVE, MARKHAM, IL 60428-4528
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36666
MEDICAL
IL
Enumeration date
01/22/2020
Last updated
01/22/2020
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