Individual
LEAH JANKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, ATC
Contact information
Practice address
4401 PEAK DR, SUITE 1, LOVES PARK, IL 61111-8001
(815) 668-7700
Mailing address
3408 HAMPTON RIDGE DR, APT 12, ROCKFORD, IL 61109-6071
(414) 238-3326
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003684
IL
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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