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T Southward
NPI 1447312152 · on the registry since 2006
Practice
- Address
- 6808 N Wolcott Ave
Chicago, IL 60626 - Phone
- (773) 456-5640
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Sex
- Female
- Record last updated
- 2009-03-14
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