Individual
REBECCA PARADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
1000 N WOLF RD, NORTHLAKE, IL 60164-1497
(847) 451-3617
Mailing address
1000 N WOLF RD, NORTHLAKE, IL 60164-1497
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004711
IL
Other
Enumeration date
04/10/2017
Last updated
04/10/2024
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