Individual
MR. RICHARD F. MIRRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
500 W ELK GROVE BLVD, ELK GROVE VILLAGE, IL 60007-4272
(847) 718-4418
Mailing address
1301 N YALE AVE, ARLINGTON HTS, IL 60004-4565
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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