Individual
MRS. TRACI KAY HEADLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
12400 S HARLEM AVE, PALOS HEIGHTS, IL 60463-1440
(708) 671-0771
(708) 671-0767
Mailing address
635 W FAY AVE, ELMHURST, IL 60126-2123
(630) 516-0967
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
01/04/2006
Last updated
07/08/2007
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