Individual
MR. SCOTT LETTOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST, CFA
Contact information
Practice address
9222 EWING AVE UNIT 302, EVANSTON, IL 60203-1717
(773) 405-1727
Mailing address
9222 EWING #302, EVANSTION, IL 60203
(773) 405-1727
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
238.000259
IL
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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