Individual
INGA AGIBALOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
535 DUNSTEN CIR, NORTHBROOK, IL 60062-2610
(847) 710-1570
Mailing address
535 DUNSTEN CIR, NORTHBROOK, IL 60062-2610
(847) 710-1570
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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