Individual
LAUREN COSENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3807 N PARIS AVE, CHICAGO, IL 60634-2043
(773) 807-5193
Mailing address
3807 N PARIS AVE, CHICAGO, IL 60634-2043
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/01/2011
Last updated
01/16/2019
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