Individual
MRS. LAURA NEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
11 CHRISTINA CIR, WHEATON, IL 60189-3108
(630) 886-8340
Mailing address
11 CHRISTINA CIRCLE, WHEATON, IL 60189
(630) 886-8340
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
070013734
IL
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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