Individual
SIMON JIRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
840 WILLOW RD STE P, NORTHBROOK, IL 60062-6823
(224) 649-5600
Mailing address
177 RIDGEWOOD AVE, BENSENVILLE, IL 60106-2036
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/15/2018
Last updated
02/10/2021
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