Individual
COURTNEY GRACE LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2159 RED OAK DR, ROUND LAKE, IL 60073-9550
(224) 358-9353
Mailing address
2159 RED OAK DR, ROUND LAKE, IL 60073-9550
(224) 358-9353
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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