Individual
MS. REBECCA ANN HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LAT, ATC
Contact information
Practice address
700 W JEFFERSON ST, SHOREWOOD, IL 60404-7608
(815) 725-1666
Mailing address
8636 CARRIAGE LN, TINLEY PARK, IL 60487-7627
(708) 429-0522
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002839
IL
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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