Individual
MARIA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1047 S YORK RD, ELMHURST, IL 60126-5121
(630) 852-7336
(630) 852-8177
Mailing address
707 RIDGEVIEW ST, DOWNERS GROVE, IL 60516-3930
(630) 852-7336
(630) 852-8177
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
071005206
IL
235Z00000X
Speech-Language Pathologist
146001511
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04922024
BCBS PT
IL
01
—
2222567
BCBS SP
IL
Enumeration date
12/19/2006
Last updated
05/23/2008
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