Individual
RAUQELLE AHLFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2401 RAVINE WAY, GLENVIEW, IL 60025-7645
(479) 985-6808
Mailing address
1536 W JUNEWAY TER, CHICAGO, IL 60626-1206
(847) 606-5733
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004503
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
04/22/2015
Last updated
06/12/2023
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