Individual
MS. BARBARA ANN EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5852 W LAKE ST, CHICAGO, IL 60644-1856
(773) 921-8052
Mailing address
5852 W LAKE ST, CHICAGO, IL 60644-1856
(773) 921-8052
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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