Most Relevant Information
Provider Data
| NPI Number: | 1003423674 |
| Provider Name: | THERESA EWING |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 149018755 |
Most Important Dates
| Enumeration Date: | 09/28/2020 |
| Last Updated: | 09/28/2020 |
Provider Practice Location
503 GARDEN CIR
STREAMWOOD
IL
601076896
Practice Location Phone/Fax
| Phone: | 8152453707 |
| Fax: |
Provider Mailing Location
503 GARDEN CIR
STREAMWOOD
IL
601076896
Provider Mailing Phone/Fax
| Phone: | 8152453707 |
| Fax: |