Individual
MARINA BISARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, MS
Contact information
Practice address
1450 W POLK ST, APARTMENT 2R, CHICAGO, IL 60607-4017
(845) 325-9590
Mailing address
1450 W POLK ST, APARTMENT 2R, CHICAGO, IL 60607-4017
(845) 325-9590
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004037
IL
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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