Molly Blechl
Individual provider Active NPI Athletic Trainer · Wheeling, IL
NPI 1821112418 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821112418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 776 N Dennis Rd
Wheeling, IL 60090-4618 - Phone
- (847) 537-9454
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096000240 | IL | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | IL | Yes |
Addresses
Primary practice location
776 N Dennis Rd
Wheeling, IL 60090-4618
Mailing address
PO Box 277
Mt Prospect, IL 60056-0277
Other providers in Wheeling, IL
- Passion Bernard
- Lesly Beron
- Best Aid Medical Supplies
- Svetlana Bielecki
- Jeffrey Blank
- Godfred Boateng
- Gennady Boldetsky
- Jeffrey L Brenneman
- Laura Kathleen Brown
- Jorge E Brunelle
All providers in Wheeling, IL · Athletic Trainer in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.