Individual
KAYLLA MELLANIE JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1851 WELWYN AVE, DES PLAINES, IL 60018-3134
(224) 595-1730
Mailing address
1851 WELWYN AVE, DES PLAINES, IL 60018-3134
(224) 595-1730
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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