MEDICARE: MRS. CYNTHIA ANN STECKEL

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	235Z00000X	Speech-Language Pathologist	146.004853	IL

General Provider Information

NPI Number	:	1306353107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CYNTHIA ANN STECKEL

Provider Business Mailing Address
First Line	:	209 1ST ST
Second Line	:
City	:	SHERRARD
State	:	IL
Zip	:	61281-8614
Country	:	US
Telephone Number	:	309-593-2917
Fax Number	:

Provider Business Practice Location Address
First Line	:	209 1ST ST
Second Line	:
City	:	SHERRARD
State	:	IL
Zip	:	61281-8614
Country	:	US
Telephone Number	:	309-593-2917
Fax Number	:

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

Provider Enumeration Date	:	01/03/2018
Last Update Date	:	03/17/2018

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Language	Start Address	Practice Location

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