Individual
BRIDGET SISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-5344
Mailing address
1549 W DIVERSEY PKWY APT 1, CHICAGO, IL 60614-0645
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056016915
IL
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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