Individual
MRS. CARRIE NICOLE CICCIU-SINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10 W PHILLIP RD STE 103, VERNON HILLS, IL 60061-1730
(847) 702-1542
(847) 702-1542
Mailing address
258 E MARSEILLES ST, VERNON HILLS, IL 60061-4147
(847) 702-1542
(847) 478-5311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-009001
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001625625
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
08/29/2006
Last updated
03/17/2018
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