Provider Demographics
NPI:1972274140
Name:CHLON, EWELINA MARIA
Entity type:Individual
Prefix:
First Name:EWELINA
Middle Name:MARIA
Last Name:CHLON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 JORIE BLVD STE 234
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-4418
Mailing Address - Country:US
Mailing Address - Phone:630-423-7706
Mailing Address - Fax:
Practice Address - Street 1:1100 JORIE BLVD STE 234
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-4418
Practice Address - Country:US
Practice Address - Phone:630-423-7706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-27
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist