SearchIllinois343900000X

Iysha Owens

NPI 1033777552 · on the registry since 2019 · sole proprietor

Practice

Address
6546 S Campbell Ave
Chicago, IL 60629
Phone
(773) 219-9612

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-05-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois