Individual
MALLORY GIZOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 N SHEFFIELD AVE, CHICAGO, IL 60614-3936
(312) 362-8300
Mailing address
52 W REDHEAD CT, ROUND LAKE BEACH, IL 60073-4946
(847) 494-3642
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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