Provider Demographics
NPI:1548368723
Name:SIOUI, MARGARET MARY (PT)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARY
Last Name:SIOUI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MEG
Other - Middle Name:
Other - Last Name:SIOUI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:1303 W MULBERRY CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-1159
Mailing Address - Country:US
Mailing Address - Phone:847-788-9508
Mailing Address - Fax:
Practice Address - Street 1:3105 N WILKE RD
Practice Address - Street 2:SUITE H
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-1495
Practice Address - Country:US
Practice Address - Phone:847-255-8690
Practice Address - Fax:847-255-2260
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID1635100OtherBLUE CROSS/BLUE SHIELD