Individual
CARRIE M DYTRYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14711 S RAVINIA AVE, ORLAND PARK, IL 60462-3100
(815) 469-1500
Mailing address
11910 WINDEMERE CT APT 102, ORLAND PARK, IL 60467-1451
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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