Individual
KANELLA DIAKOUMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4915 W ARGYLE ST, CHICAGO, IL 60630-2407
(773) 736-1774
Mailing address
4915 W ARGYLE ST, CHICAGO, IL 60630-2407
(773) 736-1774
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
01/06/2007
Last updated
07/08/2007
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