Individual
MS. MICHELE MARIE DAUPHINAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
205 W WACKER DR, STE 1020, CHICAGO, IL 60606-1216
(312) 640-0329
Mailing address
6617 106TH PL, CHICAGO RIDGE, IL 60415-1812
(708) 925-2734
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096002905
IL
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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