Individual
LIDA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 BRASSIE CT, UNIVERSITY PARK, IL 60484-2777
(708) 439-5888
Mailing address
430 BRASSIE CT, UNIVERSITY PARK, IL 60484-2777
(708) 439-5888
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/14/2013
Last updated
03/29/2017
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