Mia L Standerski in Lake Villa - Athletic Trainer
Mia L Standerski - NPI 1770614646
Mia L Standerski is a Athletic Trainer in Lake Villa, Illinois. Mia L Standerski practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Mia L Standerski is 1770614646. The last update date is 2007-07-08.
Mia L Standerski's current location address is 657 Tallgrass Lane, Lake Villa, Illinois. You can contact this provider via phone number 8472458639. The mailing address for Mia L Standerski is 657 Tallgrass Lane, Lake Villa, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mia L Standerski |
|---|---|
| Address | 657 Tallgrass Lane, Lake Villa, Illinois |
| Phone Number | 8472458639 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1770614646 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 657 Tallgrass Lane |
|---|---|
| City | Lake Villa |
| State | Illinois (IL) |
| Post Code | 60046 |
| Phone Number | 8472458639 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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What is the unique 10-digit identification code issued to Mia L Standerski by the Centers for Medicare & Medicaid Services?
The Mia L Standerski has been assigned the NPI (National Provider Identifier) 1770614646 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Mia L Standerski's physical address?
The Mia L Standerski is physically located at 657 Tallgrass Lane, in the city of Lake Villa, IL, with the postal code 60046.
What is Mia L Standerski's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mia L Standerski's specialized field of practice is Athletic Trainer, and the corresponding taxonomy code that categorizes this area of specialization is 2255A2300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1770614646 to Mia L Standerski?
The Centers for Medicare & Medicaid Services assigned the 1770614646 to Mia L Standerski on 2007-03-09.
When was the information regarding Mia L Standerski, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mia L Standerski, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.