NPI 1316754823

Jessica Melendez, MSLATATC

Practitioner Athletic Trainer Bolingbrook, IL

Practice location

Address: 790 Remington Blvd, Bolingbrook, IL 60440-4909
Phone: (815) 588-8300
Mailing address: 137 President CT, Carol Stream, IL 60188-3078

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 096.005888 (IL)

Other Specialist/Technologist providers in Illinois →

Registry record

NPI: 1316754823
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Dec 2024
Record last updated: 17 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.