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Mallory King, LMT
NPI 1154690089 · on the registry since 2011
Practice
- Address
- 2211 Waukegan Rd
Bannockburn, IL 60015 - Phone
- (847) 267-8600
- Fax
- (847) 267-9520
- Organisation at this address
- Athletico Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-12-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois