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NPI Code Detail

MEDICARE: CYNTHIA MROTEK

MEDICARE:   CYNTHIA  MROTEK
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
1106E00000XAssistant Behavior Analyst0-19-9470IL

General Provider Information

NPI Number : 1427692201
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA MROTEK
Provider Business Mailing Address
First Line : 13071 DUNMOOR DR
Second Line :
City : LEMONT
State : IL
Zip : 60439-2741
Country : US
Telephone Number : 773-592-2653
Fax Number :
Provider Business Practice Location Address
First Line : 13071 DUNMOOR DR
Second Line :
City : LEMONT
State : IL
Zip : 60439-2741
Country : US
Telephone Number : 773-592-2653
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2019
Last Update Date : 01/28/2020

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Directions to “ CYNTHIA MROTEK ” Practice Location

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