Individual
MEGAN SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 DODGE AVE, EVANSTON, IL 60201-3449
(847) 424-7373
Mailing address
909 DAVIS ST, STE 220, EVANSTON, IL 60201-3683
(847) 733-7906
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004098
IL
Other
Enumeration date
10/27/2014
Last updated
07/11/2016
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