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NPI Code Detail

MEDICARE: SYDNEY CHRISTINE MERICLE

MEDICARE: SYDNEY CHRISTINE MERICLE
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
1225X00000XOccupational Therapist056.013651IL

General Provider Information

NPI Number : 1437769114
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYDNEY CHRISTINE MERICLE
Provider Business Mailing Address
First Line : 4301 173RD STREET CT N
Second Line :
City : EAST MOLINE
State : IL
Zip : 61244-9796
Country : US
Telephone Number : 309-235-7177
Fax Number :
Provider Business Practice Location Address
First Line : 500 N JACKSON ST
Second Line :
City : MORRISON
State : IL
Zip : 61270-3004
Country : US
Telephone Number : 815-772-7288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2020
Last Update Date : 08/06/2020

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Directions to “ SYDNEY CHRISTINE MERICLE ” 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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