Individual
BIANCA BOCKWINKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 FLORSHEIM DR, LIBERTYVILLE, IL 60048-3757
(847) 247-4000
Mailing address
720 FLORSHEIM DR, LIBERTYVILLE, IL 60048-3757
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.005628
IL
Other
Enumeration date
05/07/2018
Last updated
05/12/2023
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