Individual
JORDAN KNOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
17783 W BRAEWICK RD, GURNEE, IL 60031-4597
(262) 960-0307
Mailing address
2621 N AUGUSTA DR, WADSWORTH, IL 60083-8904
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/18/2019
Last updated
11/14/2024
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