Individual
KAREN J HENNESSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
24100 SIMO DR, PLAINFIELD, IL 60586-6219
(815) 267-3175
Mailing address
24100 SIMO DR, PLAINFIELD, IL 60586-6219
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
96001248
IL
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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