Individual
MELISSA JO VALESKA MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
303 E ARMY TRAIL RD, STE 400, BLOOMINGDALE, IL 60108-2169
(630) 200-9648
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096002391
IL
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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