Individual
MARGARET ELLEN PORTENLANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2401 RAVINE WAY STE 200, GLENVIEW, IL 60025-7645
(847) 724-4562
Mailing address
4213 N KEDVALE AVE APT 2J, CHICAGO, IL 60641-2221
(773) 545-1228
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
96001358
IL
Other
Enumeration date
11/12/2006
Last updated
07/08/2007
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