Individual
MRS. COLETTE A SIPPEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1320 TOWER RD, SUITE 105 AND 106, SCHAUMBURG, IL 60173-4309
(847) 385-1981
(847) 859-5896
Mailing address
60 PELICAN BAY, ROSELLE, IL 60172-4726
(847) 385-1981
(847) 859-5896
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-011253
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL1294001
MEDICARE PTAN
IL
Enumeration date
05/18/2006
Last updated
04/24/2009
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