NPI 1811396682

Elijah Ewasiuk

Practitioner Massage Therapist Carol Stream, IL

Practice location

Address: 265 Allegro Ln, Carol Stream, IL 60188-3609
Phone: (312) 953-3119

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 227.012839 (IL)

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Registry record

NPI: 1811396682
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Aug 2014
Record last updated: 18 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.