Individual
MICAELA SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1600 167TH ST, CALUMET CITY, IL 60409
(708) 647-7565
Mailing address
10742 S AVENUE L, CHICAGO, IL 60617-6601
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096004695
IL
2255A2300X
Athletic Trainer
36002673A
IN
Other
Enumeration date
07/25/2014
Last updated
11/03/2018
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