Individual
GINA LIN MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
3551 HIGHLAND AVE, DOWNERS GROVE, IL 60515-2100
(630) 275-2640
Mailing address
13132 W CREEKSIDE DR, HOMER GLEN, IL 60491-8105
(708) 822-4462
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003062
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096003062
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
09/09/2019
Last updated
09/09/2019
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