Individual
DR. LYDIA CHRISTINA SITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
215 3. 1ST STREET, SUITE 317, KSB MEDICAL GROUP, DIXON, IL 61021
(815) 285-5918
(815) 285-5592
Mailing address
215 E. 1ST STREET, SUITE 317, KSB MEDICAL GROUP, DIXON, IL 61021
(815) 285-5918
(815) 285-5592
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001487
IL
231H00000X
Audiologist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400292864
MEDICARE
IL
Enumeration date
04/16/2014
Last updated
02/15/2022
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