ELLAWEASE EARLS

Contractor

Active Individual
NPI: 1952705006

Practice Address

8801 S CONSTANCE AVE
Chicago, IL 60617

Phone: (773) 206-2468

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1952705006 is the National Provider Identifier for ELLAWEASE EARLS, a Contractor provider located in Chicago, IL. This NPI was enumerated on October 17, 2014.
ELLAWEASE EARLS practices at 8801 S CONSTANCE AVE, Chicago, IL 60617.

Quick Facts

NPI
1952705006
Type
Individual
Enumerated
Oct 17, 2014
Last Updated
Oct 17, 2014

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