Individual
SYDNEY ALEXA MELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
720 FLORSHEIM DR, LIBERTYVILLE, IL 60048-3757
(847) 247-4000
Mailing address
17128 W CUNNINGHAM CT, LIBERTYVILLE, IL 60048-9469
(847) 651-8140
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000037742
IL
Other
Enumeration date
02/08/2019
Last updated
04/03/2020
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