Healthcare Provider Details

I. General information

NPI: 1821892738
Provider Name (Legal Business Name): EMILY OWENS
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2025
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 W MADISON ST
CHICAGO IL
60602-4309
US

IV. Provider business mailing address

5423 N WINTHROP AVE APT 301
CHICAGO IL
60640-1738
US

V. Phone/Fax

Practice location:
  • Phone: 773-553-1000
  • Fax:
Mailing address:
  • Phone: 219-309-1406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: