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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS MELISSA BOGER, ATC, CSCS, NASM-PES

Active Sole Proprietor

MISS MELISSA BOGER, ATC, CSCS, NASM-PES is a Athletic Trainer healthcare provider located in LAKEMOOR, Illinois. NPI 1447382015 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · LAKEMOOR, IL

Registration Details

NPI Number
1447382015
Provider Type
Individual
Gender
Female
NPI Issued
Mar 9, 2007 (19.440765004038 yrs)
Last Updated
Jul 8, 2007
License
96001558 (IL)
Sole Proprietor
Yes

Practice Information

Address
28088 W. NIAGARA STREET
LAKEMOOR, IL, 60051
Browse IL providers · Browse ZIP 60051
Phone
7082576774
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in LAKEMOOR, IL

Name Credential NPI
ERIN MEDLEY ATC 1639201403
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.