Myrtle Rycraw

NPI #1003443417 in Matteson, Illinois

Provider Information

NPI Number: 1003443417
Entity Type: Individual
Name: Myrtle Rycraw
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Mar 25, 2020
Last Updated: Mar 25, 2020

Practice Location

Address: 4800 SOUTHWICK DR STE 300
City: Matteson
State: Illinois
ZIP Code: 60443-2235
Phone: (708) 747-2655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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