NPI 1003443417
Myrtle Rycraw
Practice location
- Address
- 4800 Southwick Dr STE 300, Matteson, IL 60443-2235
- Phone
- (708) 747-2655
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1003443417
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Mar 2020
- Record last updated
- 25 Mar 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.