Individual
DR. EWA IRENE ANTONOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
332 S MICHIGAN AVE STE 1024, CHICAGO, IL 60604-4483
(888) 726-7170
Mailing address
698 W IRVING PARK RD APT A8, CHICAGO, IL 60613-3148
(773) 655-6560
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071004529
IL
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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