Individual
EMILY EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5643 N. MAGNOLIA AVE, CHICAGO, IL 60660
(312) 919-7682
Mailing address
5643 N MAGNOLIA AVE, CHICAGO, IL 60660-3486
(312) 919-7682
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IL-UIC (05/22/2014)
IL
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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