Individual
GINALYN G MENDILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5221 N BROADWAY ST, CHICAGO, IL 60640-2303
(773) 366-2770
Mailing address
2506 W TOUHY AVE, CHICAGO, IL 60645-3150
(773) 366-2770
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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