MEDICARE: CYNTHIA IVETTE SANCHEZ-FRANCO PTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	160006818	IL

General Provider Information

NPI Number	:	1356894182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA IVETTE SANCHEZ-FRANCO PTA

Provider Business Mailing Address
First Line	:	3508 W MARQUETTE RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60629-4123
Country	:	US
Telephone Number	:	773-793-1507
Fax Number	:

Provider Business Practice Location Address
First Line	:	3508 W MARQUETTE RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60629-4123
Country	:	US
Telephone Number	:	773-793-1507
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2016
Last Update Date	:	07/28/2016

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