Individual
LELIA M SIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
205 W WACKER DR STE 1020, CHICAGO, IL 60606-1452
(708) 595-9418
(630) 724-0978
Mailing address
810 SPRUCE ST, AURORA, IL 60506-3744
(708) 606-6053
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
096-000371
IL
2255A2300X
Athletic Trainer
Primary
096000371
IL
Other
Enumeration date
02/09/2006
Last updated
01/24/2012
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