Individual
MIRIAM K BOEING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7191 S KINGERY HWY, SUITE L6, WILLOWBROOK, IL 60527-5525
(630) 455-6630
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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