Provider Demographics
NPI:1720336951
Name:CARRIE CICCIU-SINGER, PT INC.
Entity Type:Organization
Organization Name:CARRIE CICCIU-SINGER, PT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CICCIU-SINGER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:847-702-1542
Mailing Address - Street 1:258 MARSEILLES ST
Mailing Address - Street 2:
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061-4147
Mailing Address - Country:US
Mailing Address - Phone:847-702-1542
Mailing Address - Fax:847-478-5311
Practice Address - Street 1:258 MARSEILLES ST
Practice Address - Street 2:
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061-4147
Practice Address - Country:US
Practice Address - Phone:847-702-1542
Practice Address - Fax:847-478-5311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-20
Last Update Date:2012-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty