Individual
MACY ANN CIALKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
3101 FIELDS SOUTH DR, CHAMPAIGN, IL 61822-3743
(217) 366-1237
(217) 366-1303
Mailing address
3101 FIELDS SOUTH DR, CHAMPAIGN, IL 61822-3743
(217) 366-1237
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096004852
IL
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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