Individual
JENNIFER COGSWELL REGAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A.T.C.
Contact information
Practice address
1285 N MCKINLEY RD, LAKE FOREST, IL 60045-1371
(847) 582-7397
Mailing address
2438 TRAILSIDE LN, WAUCONDA, IL 60084-5016
(847) 469-8525
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
03/16/2006
Last updated
07/08/2007
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