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1386715415
MARGARET ELLEN PORTENLANGER
GLENVIEW, IL
NPI
1386715415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IL 96001358)
Enumeration Date
2006-11-12
Last Update Date
2007-07-08
Business Address
MARGARET ELLEN PORTENLANGER ATC
2401 RAVINE WAY STE 200
GLENVIEW, IL 60025-7645
Phone number: 847-724-4562
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Mailing Address
MARGARET ELLEN PORTENLANGER ATC
4213 N KEDVALE AVE APT 2J
CHICAGO, IL 60641-2221
Phone number: 773-545-1228
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