Individual
SHERIDAN MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 W HOWARD ST, CHICAGO, IL 60645-1228
(773) 305-6400
Mailing address
8033 S CARNABY CT, HANOVER PARK, IL 60133-2324
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
374700000X
Technician
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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