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NPI Code Detail

MEDICARE: SYDNEY RENEE DITTERLINE

MEDICARE: SYDNEY RENEE DITTERLINE
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1366305559
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYDNEY RENEE DITTERLINE
Provider Business Mailing Address
First Line : 316 E 13TH PL
Second Line :
City : HOBART
State : IN
Zip : 46342-5950
Country : US
Telephone Number : 219-286-9556
Fax Number :
Provider Business Practice Location Address
First Line : 2248 S MICHIGAN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60616-5258
Country : US
Telephone Number : 312-842-5083
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2025
Last Update Date : 12/04/2025

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Directions to “ SYDNEY RENEE DITTERLINE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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