Individual
JILL POHLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 W LINCOLN HWY, DEKALB, IL 60115-3989
(815) 861-4566
Mailing address
1525 W LINCOLN HWY, DEKALB, IL 60115-3989
(815) 861-4566
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096004337
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096004337
ATHLETIC TRAINER
IL
Enumeration date
01/19/2017
Last updated
01/19/2017
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