Individual
BRITTANY MITACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
18500 BURNHAM AVE, LANSING, IL 60438-3046
(708) 585-9725
Mailing address
8629 MANOR AVE APT D, MUNSTER, IN 46321-2215
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096002960
IL
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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