Individual
TAYLOR SIRACUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 W EDSON ST, POPLAR GROVE, IL 61065-8556
(815) 988-8949
Mailing address
309 W EDSON ST, POPLAR GROVE, IL 61065-8556
(815) 988-8949
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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