Individual
EMILY DIERKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
425 FAWELL BLVD, GLEN ELLYN, IL 60137-6708
(630) 942-2545
Mailing address
1524 LARK LN, NAPERVILLE, IL 60565-1304
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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