Organization
EWN, INC
Active
Other names
Creekwood Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC WARD NOLAN MD (CHILD AND ADOLESCENT PSYCHIATRIST)
(314) 223-2993
Entity
Organization
Contact information
Practice address
240 S 5TH AVE, SUITE B, ST CHARLES, IL 60174-2905
(314) 223-2993
Mailing address
40W615 STONEBRIAR LN, ELGIN, IL 60124-8162
(314) 223-2993
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036-121-588
IL
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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