Individual
EWA TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5223 S NOTTINGHAM AVE, CHICAGO, IL 60638-1009
(708) 528-5000
Mailing address
5223 S NOTTINGHAM AVE, CHICAGO, IL 60638-1009
(708) 528-5000
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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