ANNALIS MATTA

CHICAGO, IL
NPI1538520606
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096003620)
Enumeration Date2016-03-16
Last Update Date2016-03-16
Business Address
-- ANNALIS MATTA ATC
1253 W WESTGATE TER
CHICAGO, IL 60607-3306
Phone number: 312-933-1710
Mailing Address
-- ANNALIS MATTA ATC
1253 W WESTGATE TER
CHICAGO, IL 60607-3306
Phone number: 312-933-1710
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