Individual
ELLEN MARIE SHWATAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MSPH
Contact information
Practice address
1349 PRAIRIE CT, WEST CHICAGO, IL 60185-5147
(630) 876-8176
Mailing address
1349 PRAIRIE CT, WEST CHICAGO, IL 60185-5147
(630) 876-8176
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/07/2008
Last updated
05/25/2016
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