Individual
ELVEDINA OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
900 JORIE BLVD STE 11, OAK BROOK, IL 60523-2268
(708) 990-8221
(708) 416-8800
Mailing address
343 LIONEL RD, RIVERSIDE, IL 60546-2205
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149018342
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235582685
—
IL
Enumeration date
07/21/2016
Last updated
07/16/2024
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