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Organization

WESTSIDE ABA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARI SCHEDIN CASSIDY PT (OWNER, PHYSICAL THERAPIST)
(815) 469-1500
Entity
Organization

Contact information

Practice address
10257 W LINCOLN HWY, FRANKFORT, IL 60423-1279
(815) 469-1500
(815) 469-1518
Mailing address
10257 W LINCOLN HWY, FRANKFORT, IL 60423-1279
(815) 469-1500
(815) 469-1518

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11210328
IL

Other

Enumeration date
07/20/2012
Last updated
07/20/2012
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