Individual
NICOLE EMILY VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3481 CRESCENT AVE, GURNEE, IL 60031-3712
(847) 612-1630
Mailing address
3481 CRESCENT AVE, GURNEE, IL 60031-3712
(847) 612-1630
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/26/2017
Last updated
06/10/2020
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