Organization
MYKEA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKIA STEWART (OTR/L)
(312) 522-8486
Entity
Organization
Contact information
Practice address
2947 W 79TH ST, CHICAGO, IL 60652-1693
(312) 522-8486
Mailing address
2947 W 79TH ST, CHICAGO, IL 60652-1693
(312) 522-8486
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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