Individual
JESSICA N JOHN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
5530 S ELLIS AVE, CHICAGO, IL 60637-1402
(773) 702-5573
Mailing address
2128 S CENTRAL PARK AVE, CHICAGO, IL 60623-3113
(702) 419-4142
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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