Provider Demographics
NPI:1598083412
Name:SEVCIK, EMILY (MT-BC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:SEVCIK
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29W759 WEMBLY DR
Mailing Address - Street 2:
Mailing Address - City:WARRENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60555-1453
Mailing Address - Country:US
Mailing Address - Phone:630-447-8003
Mailing Address - Fax:
Practice Address - Street 1:29W759 WEMBLY DR
Practice Address - Street 2:
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60555-1453
Practice Address - Country:US
Practice Address - Phone:630-447-8003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-17
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist