Individual
JENNIFER HEDWIG GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
14821 FOUNDERS XING, HOMER GLEN, IL 60491-6705
(708) 301-9933
Mailing address
PO BOX 534, TINLEY PARK, IL 60477-0534
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.000677
IL
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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