Individual
JENNA GOSSELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
3225 W FOSTER AVE, CHICAGO, IL 60625-4823
(603) 657-5329
Mailing address
4157 N CLARENDON AVE APT 807, CHICAGO, IL 60613-5202
(603) 657-5329
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096005404
IL
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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