Individual
COREY ELIZABETH SOPHIA LIBERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6220 W 127TH PL, PALOS HEIGHTS, IL 60463-2314
(708) 337-3048
Mailing address
6220 W 127TH PL, PALOS HEIGHTS, IL 60463-2314
(708) 337-3048
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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