PAMELA EVETTE EWING


Address: 9145 S. Merrill Ave, Chicago, IL 60617
Phone: 3124793007

PAMELA EVETTE EWING (NPI# 1831607340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831607340
Entity Type Individual
Full Name PAMELA EVETTE EWING
Practice Address 9145 S. Merrill Ave
Chicago
IL 60617
Mailing Address 9145 S Merrill Ave
Chicago
IL 60617-3830
Practice Telephone 3124793007
Mailing Telephone 7732302166
Enumeration Date 2018-01-18
Last Update Date 2018-01-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
180.006013 IL Behavioral Health & Social Service Providers

Office Location

Street Address 9145 S. MERRILL AVE
City CHICAGO
State IL
Zip Code 60617

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City CHICAGO
Zip Code 60617

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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