Individual
KIESHA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
153 HICKORY ST, MUNDELEIN, IL 60060-2931
(224) 676-8698
Mailing address
153 HICKORY ST, MUNDELEIN, IL 60060-2931
(224) 676-8698
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/13/2015
Last updated
09/13/2015
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