Provider Demographics
NPI:1215170899
Name:REYMAR CLINIC HEALTHCARE INC.
Entity type:Organization
Organization Name:REYMAR CLINIC HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SYCHAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-651-9200
Mailing Address - Street 1:6032 S HALSTED ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60621-2112
Mailing Address - Country:US
Mailing Address - Phone:773-651-9200
Mailing Address - Fax:773-651-9203
Practice Address - Street 1:6032 S HALSTED ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60621-2112
Practice Address - Country:US
Practice Address - Phone:773-651-9200
Practice Address - Fax:773-651-9203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-13
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center