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SANDRA JEAN MICCI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1901 W HARRISON ST, JOHN H STROGER HOSPITAL/ CORE CENTER, CHICAGO, IL 60612-3714
(312) 572-4570
(312) 572-4559
Mailing address
101 HELM RD, BARRINGTON, IL 60010-7645
(847) 551-3518
(312) 572-4559

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-000483
IL

Other

Enumeration date
07/26/2006
Last updated
04/27/2021
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