Individual
KATHERINE MIRABELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2112 WYNHAM LAKES CT, PLAINFIELD, IL 60586-6613
(815) 546-2545
Mailing address
2112 WYNHAM LAKES CT, PLAINFIELD, IL 60586-6613
(815) 546-2545
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
STUDENT IN AN ORGANIZED HEALTH CARE EDUCATION/TRAINING PROGRAM
IL
Enumeration date
04/30/2018
Last updated
04/30/2018
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