Individual
SANDRA MARIE NIRVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
500 W ELK GROVE BLVD, ELK GROVE VILLAGE, IL 60007-4272
(847) 525-8500
Mailing address
205 MEADOW LN, OAKWOOD HILLS, IL 60013-1148
(847) 525-8500
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004444
IL
Other
Enumeration date
08/02/2017
Last updated
03/17/2018
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