Individual
AMY STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1729 BENSON AVE, EVANSTON, IL 60201-3704
(847) 570-7170
Mailing address
1224 NOYES ST, EVANSTON, IL 60201
(847) 733-1364
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.013519
IL
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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