Individual
SHARON ELIZABETH BALICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
404 MCHENRY RD, BUFFALO GROVE, IL 60089-6740
(847) 285-4200
Mailing address
133 GOODWIN PL, MUNDELEIN, IL 60060-1805
(847) 566-1242
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096-001511
IL
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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