Individual
NIKKI NEGRETE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8520 S. LECLAIRE AVE., BURBANK, IL 60459
(708) 963-7631
Mailing address
8520 LECLAIRE AVE, BURBANK, IL 60459-2845
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.005124
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
02/14/2017
Last updated
05/09/2020
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