Standerski, Mia L

Standerski, Mia L is an sole proprietor health care provider with primary practice located at 657 Tallgrass Lane , Lake Villa IL 60046. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Standerski, Mia L can be contacted via phone (847) 245-8639.

Contact Information

Primary practice address
657 Tallgrass Lane Lake Villa IL 60046
Phone: (847) 245-8639
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Illinois

Profile Details

NPI number 1770614646
LBN Legal business name Standerski, Mia L
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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