Individual
MALLORY FUJIKO ALBERTYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
929 W HIGGINS RD, SCHAUMBURG, IL 60195-3203
(847) 924-0343
Mailing address
548 COLE CT, GURNEE, IL 60031-3226
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003453
IL
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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