Individual
JENNIFER ANN TYMKEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1501 CENTRAL ST, EVANSTON, IL 60208-0840
(847) 491-8863
Mailing address
2133 CENTRAL ST, #3, EVANSTON, IL 60201-5824
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096-002001
IL
Other
Enumeration date
04/26/2006
Last updated
07/19/2011
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