Mariellen Mardis, MAT
Mariellen Mardis, MAT is an Athletic Trainer in Lake Bluff, Illinois. Licensed in Illinois. Registered with an NPI since 2021.
- Licensed in
- IL
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
30019 N Waukegan Rd Apt 103Lake Bluff, IL 60044-1079
Phone: (618) 980-0482
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 096.004744 (IL) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1700450665 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MAT |
| Sole proprietor | No |
| NPI enumerated | May 16, 2021 |
| Last updated in NPPES | May 16, 2021 |
| Certification date | May 16, 2021 |