Individual
ABIGAIL C. MIRABELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
2401 RAVINE WAY STE 100, GLENVIEW, IL 60025-7645
(309) 267-7726
Mailing address
2401 RAVINE WAY STE 100, GLENVIEW, IL 60025-7645
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
STUDENT
IL
Enumeration date
05/01/2018
Last updated
02/08/2023
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