Individual
DEBORAH SIFUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 S CALIFORNIA AVE, CHICAGO, IL 60608-1858
(773) 522-2010
Mailing address
1401 S. CALIFORNIA BLVD., CHICAGO, IL 60608
(773) 522-2010
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.017534
IL
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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