Individual
MELANIE MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, CSCS
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 834-0991
Mailing address
10765 S PULASKI RD, UNIT 8, CHICAGO, IL 60655-3933
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003325
IL
2255A2300X
Athletic Trainer
RT002417A
PA
Other
Enumeration date
04/12/2007
Last updated
04/26/2012
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