Individual
SUSAN MCCLENAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
100 S BRAINARD AVE, LA GRANGE, IL 60525-2101
(708) 579-6500
Mailing address
100 S BRAINARD AVE, LA GRANGE, IL 60525-2101
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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