Individual
ELIJAH EWASIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
265 ALLEGRO LN, CAROL STREAM, IL 60188-3609
(312) 953-3119
Mailing address
265 ALLEGRO LN, CAROL STREAM, IL 60188-3609
(312) 953-3119
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.012839
IL
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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