Individual
JUDITH ANN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
212 E 79TH ST, CHICAGO, IL 60619-2802
(708) 466-1727
Mailing address
212 E 79TH ST, CHICAGO, IL 60619-2802
(708) 466-1727
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
JS87630200
IL
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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