Individual
JESSICA NEUKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
799 CENTRAL AVE, SUITE 210, HIGHLAND PARK, IL 60035-5637
(847) 681-8720
Mailing address
804 DOBSON ST APT 2, EVANSTON, IL 60202-3999
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003135
IL
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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