Individual
CASSANDRA KOHLHAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 JAMES ST, LAWRENCEVILLE, IL 62439-2028
(618) 943-3389
Mailing address
1418 COLLEGE DR, MOUNT CARMEL, IL 62863-2638
(618) 263-6400
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003903
IL
Other
Enumeration date
11/15/2019
Last updated
11/27/2023
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