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MR. EDWARD ALLEN MCEWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
23995 N 2200TH RD, PRAIRIE CITY, IL 61470-8483
(309) 333-8535
Mailing address
23995 N 2200TH RD, PRAIRIE CITY, IL 61470-8483
(309) 333-8535

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.008503
IL

Other

Enumeration date
02/04/2011
Last updated
02/04/2011
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