Individual
MRS. MELANIE LINDA AHLGRIM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 N TOUHY, SUITE 202, CHICAGO, IL 60646
(773) 774-4291
Mailing address
6023 N NEWBURG AVE, CHICAGO, IL 60631-2617
(773) 775-0349
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/08/2006
Last updated
07/08/2007
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