Individual
MS. ALEXANDRIA ROSE URGO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC, LMT
Contact information
Practice address
1323 W DIVERSEY PKWY, CHICAGO, IL 60614-1207
(773) 549-2520
Mailing address
7005 99TH ST, #3, CHICAGO RIDGE, IL 60415-1152
(773) 218-8535
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
11/29/2005
Last updated
07/08/2007
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