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Contact Information

MELISSA BOGER, ATC, CSCS, NASM-PES
28088 W. NIAGARA STREET
LAKEMOOR, IL60051
 Phone: 708-257-6774
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for MELISSA BOGER · (Female)

NPI Number 1447382015
Status Active
Credentials ATC, CSCS, NASM-PES
Entity Individual
Enumeration date 03/09/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 96001558
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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