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NPI Code Detail

MEDICARE: DANIELLE TOROSSI

MEDICARE:   DANIELLE  TOROSSI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1134660202
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE TOROSSI
Provider Business Mailing Address
First Line : 5145 N OCTAVIA AVE
Second Line :
City : HARWOOD HEIGHTS
State : IL
Zip : 60706-3626
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5145 N OCTAVIA AVE
Second Line :
City : HARWOOD HEIGHTS
State : IL
Zip : 60706-3626
Country : US
Telephone Number : 708-646-3145
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2017
Last Update Date : 03/09/2017

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Directions to “ DANIELLE TOROSSI ” Practice Location

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