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Individual

CYNTHIA SYLVIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
211 S. HUNTER AVE, JOLIET, IL 60436
(815) 666-5859
Mailing address
211 S. HUNTER AVNEUE, JOLIET, IL 60436
(815) 666-5859

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.085737
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-64W00000X
LPN
IL
Enumeration date
09/23/2016
Last updated
09/23/2016
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