Individual
MICHELLE RUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2844 W 39TH PL, CHICAGO, IL 60632-1802
(773) 701-2886
Mailing address
2844 W 39TH PL, CHICAGO, IL 60632-1802
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/22/2016
Last updated
10/22/2016
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