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Individual

SHERIEKA A LINZY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
449 SIDNEY AVE UNIT B, GLENDALE HEIGHTS, IL 60139-3153
(630) 440-6276
Mailing address
449 SIDNEY AVE UNIT B, GLENDALE HEIGHTS, IL 60139-3153
(630) 440-6276

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
L52078180842
DRIVER'S LICENSE
IL
Enumeration date
10/18/2021
Last updated
10/18/2021
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