Search › Illinois › 225100000X
Vicki Tysseling Mattiace, P.T
NPI 1578734711 · on the registry since 2008
Practice
- Address
- 124 W Polk St Apt 807
Chicago, IL 60605 - Phone
- (312) 583-9077
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-03-16
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