Individual
MARICELA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 WILLIAMS ST APT 2B, AURORA, IL 60506-4217
(815) 993-6415
Mailing address
212 WILLIAMS ST APT 2B, AURORA, IL 60506-4217
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U2N399W03408
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/05/2021
Last updated
09/05/2021
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