Individual
MRS. SUSAN LYNN FIERKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T. A.
Contact information
Practice address
222 S. RIVERSIDE PLAZA, STE 830, CHICAGO, IL 60606
(866) 386-0773
Mailing address
5332 CONEFLOWER DR, NAPERVILLE, IL 60564-5340
(630) 904-6254
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.000486
IL
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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