Individual
DIANE KAY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6006 159TH ST BLDG B, OAK FOREST, IL 60452-2904
(708) 535-0933
(708) 614-9435
Mailing address
2456 EMERALD CT APT 208, WOODRIDGE, IL 60517-3915
(309) 269-3160
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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