Individual
MRS. HEATHER NOEL CISOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
579 HICKORY LN, WEST CHICAGO, IL 60185-2410
(630) 849-6601
Mailing address
579 HICKORY LN, WEST CHICAGO, IL 60185-2410
(630) 849-6601
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002997
IL
Other
Enumeration date
11/03/2011
Last updated
05/17/2014
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