Individual
MRS. DANIELLE ANNE COLEGROVE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
1501 CENTRAL ST, EVANSTON, IL 60208-0840
(847) 467-2406
Mailing address
7843 KENNETH AVE, SKOKIE, IL 60076-3505
(847) 679-2037
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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