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Organization

ATHLETIC AND INDUSTRIAL MEDICINE

Active
Other names
AIM Immediate Care
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CYNTHIA FRANCES SUSEDIK D.O. (MEMBER)
(815) 754-1122
Entity
Organization

Contact information

Practice address
1985 DEKALB AVE, SUITE 300, SYCAMORE, IL 60178-3107
(815) 754-1122
(815) 787-3678
Mailing address
1985 DEKALB AVE, SUITE 300, SYCAMORE, IL 60178-3107
(815) 754-1122
(815) 787-3678

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
036079869
IL
261QU0200X
Urgent Care Clinic/Center
Primary
036081304
IL

Other

Enumeration date
02/05/2007
Last updated
05/23/2008
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