Individual
JAZMYN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 16TH ST STE T14, OAK BROOK, IL 60523-8795
(773) 663-1273
Mailing address
1600 16TH ST STE T14, OAK BROOK, IL 60523-8795
(773) 663-1273
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/13/2017
Last updated
10/16/2019
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