Individual
VICTORIA GHILARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
7900 DIVISION ST, RIVER FOREST, IL 60305-1066
(708) 524-6226
Mailing address
7900 DIVISION ST, POWER 027, RIVER FOREST, IL 60305
(708) 524-6226
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004460
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000026851
NATA BOC
—
Enumeration date
10/27/2023
Last updated
10/27/2023
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