Individual
NICOLE ROSE MONDELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
958 TALLGRASS DR, BARTLETT, IL 60103-5071
(331) 575-7145
Mailing address
958 TALLGRASS DR, BARTLETT, IL 60103-5071
(331) 575-7145
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
BOC
IL
Enumeration date
07/01/2020
Last updated
07/01/2020
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