Individual
MS. RAE A SWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9157 S EMERALD AVE, CHICAGO, IL 60620-2740
(773) 459-9656
Mailing address
9157 S EMERALD AVE, CHICAGO, IL 60620-2740
(773) 459-9656
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/23/2019
Last updated
11/23/2019
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