Individual
MICHELLE LICHTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
735 E JEFFERSON ST, BENSENVILLE, IL 60106-3160
(224) 465-4378
Mailing address
3 S LOUIS ST, MOUNT PROSPECT, IL 60056-3455
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/29/2017
Last updated
03/17/2018
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