Individual
JENNIFER M PLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 UNIVERSITY CIR, MACOMB, IL 61455-1367
(309) 298-1506
(309) 298-2981
Mailing address
30 SHOREWOOD DR, MACOMB, IL 61455-9746
(309) 836-5769
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096001425
IL
Other
Enumeration date
03/09/2006
Last updated
12/31/2019
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