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Search › Illinois › 225200000X

Sydney Irvin, PTA

NPI 1053066290 · on the registry since 2022 · sole proprietor

Practice

Address
2600 N Annie Glidden Rd
Dekalb, IL 60115
Phone
(815) 758-2477
Organisation at this address
Dekalb County Government
Dekalb County Government
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-02-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois