Individual
DR. JENNIFER E MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DAT, LAT, ATC
Contact information
Practice address
1 UNIVERSITY PKWY, UNIVERSITY PARK, IL 60484-3165
(708) 235-2187
Mailing address
17110 S HERITAGE DR, HOMER GLEN, IL 60491-8244
(815) 263-6488
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004578
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096.004578
DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION OF IL
IL
Enumeration date
09/11/2018
Last updated
02/25/2022
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