| Doctor Name: | MR. SCOTT A. EWART |
| NPI Number: | 1023374329 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCPC, CRADC |
| License Number: | 180.002491 |
| Business Practice Address: | 18640 Belvedere Road Grayslake, IL - 60030 |
| Business Phone Number: | 8475486000 |
| Business Fax Number: | 8475486040 |
| Mailing Address: | 18640 Belvedere Road, GRAYSLAKE |
| State: | IL |
| Postal Code: | 60030 |
| Phone Number: | 8475486000 |
| Fax Number: | 8475486040 |
| NPI Enumeration Date: | 04/11/2012 |
| NPI Last Update Date: | 04/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 180.002491 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |