Individual
THERESA K SIAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2830 W CERMAK RD, CHICAGO, IL 60623-3512
(773) 523-8600
(773) 523-8640
Mailing address
2830 W CERMAK RD, CHICAGO, IL 60623-3512
(773) 523-8600
(773) 523-8640
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203.001571
IL
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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