Provider Information for 1376636944
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Miss CYD C. ONEAL L.C.P.C.
Sex: Female
NPI: 1376636944
Last Updated: 2024-05-23
Certification Date: 2024-05-23
Certification Date: 2024-05-23
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1376636944 | ||||||||||||
| Enumeration Date | 2006-10-02 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 10137 S MORGAN ST CHICAGO, IL 60643-2222 United States Phone: 773-307-7178 | Fax:773-779-6526 | ||||||||||||
| Primary Practice Address | 10137 S MORGAN ST CHICAGO, IL 60643-2222 United States Phone: 312-402-1498 | Fax: | ||||||||||||
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