Individual
KATHERINE DAWN KLINGENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2065 HALF DAY RD, T-1406, DEERFIELD, IL 60015-1241
(847) 513-2011
Mailing address
2065 HALF DAY RD, T-1406, DEERFIELD, IL 60015-1241
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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