Mariellen Mardis, MAT
NPI #1700450665 in Lake Bluff, Illinois
Provider Information
- NPI Number
- 1700450665
- Entity Type
- Individual
- Name
- Mariellen Mardis, MAT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MAT
- Enumeration Date
- May 16, 2021
- Last Updated
- May 16, 2021
Practice Location
- Address
- 30019 N WAUKEGAN RD APT 103
- City
- Lake Bluff
- State
- Illinois
- ZIP Code
- 60044-1079
- Phone
- (618) 980-0482
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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