Individual
KAREN MENDEZ-AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, ROT
Contact information
Practice address
650 S RANDALL RD, ALGONQUIN, IL 60102-5944
(815) 398-9491
Mailing address
1522 GOLDEN OAK DR, WOODSTOCK, IL 60098-7712
(815) 337-3670
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000039576
IL
Other
Enumeration date
02/13/2021
Last updated
04/16/2021
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