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Individual

ZACHARY LYDICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
515 THORNHILL DR STE B, CAROL STREAM, IL 60188-2772
(630) 933-1500
Mailing address
515 THORNHILL DR STE B, CAROL STREAM, IL 60188-2772
(630) 933-1500

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160008916
IL

Other

Enumeration date
05/05/2021
Last updated
05/05/2021
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