Individual
JESSICA MEACHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Mailing address
2114 SPRINGFIELD DR, CHELSEA, AL 35043-2029
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2391
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VWM00002353C
BLUE CROSS BLUE SHIELD
—
Enumeration date
05/16/2018
Last updated
01/08/2023
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