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Individual

MARY THERESE SYCIP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
10S438 CARRINGTON CIR, BURR RIDGE, IL 60527-6945
(630) 272-5231
Mailing address
10S438 CARRINGTON CIR, BURR RIDGE, IL 60527-6945

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
070015183
IL

Other

Enumeration date
03/16/2007
Last updated
02/29/2016
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