Individual
SYLVIA BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4221 216TH ST, MATTESON, IL 60443-2608
(708) 679-0844
Mailing address
4221 216TH ST, MATTESON, IL 60443-2608
(708) 679-0844
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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