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General NPI Number Information
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NPI Number | 1033651724
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Entity Type | Organization
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Legal Business Name | MCEWAN & ASSOCIATES, PC
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Dates
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Enumeration Date | 11/10/2016
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 230 E OHIO STREET STE 410 #2191
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City | CHICAGO
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State | IL
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Zip | 60611-5288
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Country | US
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Telephone | 773-809-1531
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Fax |
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Provider Business Mailing Address
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Address Line | 2435 N SHEFFIELD AVE STE 9
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City | CHICAGO
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State | IL
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Zip | 60614-2277
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICK DANIEL MCEWAN
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Credential | APRN-FPA
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Telephone | 773-809-1531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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