Provider Demographics
NPI:1891917001
Name:CYRIER, ROSALIE (APN)
Entity type:Individual
Prefix:MS
First Name:ROSALIE
Middle Name:
Last Name:CYRIER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2861 N CLARK ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-5207
Mailing Address - Country:US
Mailing Address - Phone:312-744-4094
Mailing Address - Fax:312-744-2573
Practice Address - Street 1:2861 N CLARK ST
Practice Address - Street 2:2ND FL.
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-5207
Practice Address - Country:US
Practice Address - Phone:312-744-4094
Practice Address - Fax:312-744-2573
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL41-244380163W00000X
IL209-001485363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse