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Individual

MISS GRETCHEN KATHLEEN DAUMEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, ATC

Contact information

Practice address
25 NORTH WINFIELD RD, WINFIELD, IL 60190
(630) 339-2202
(708) 409-5179
Mailing address
425 FAWELL BLVD, GLEN ELLYN, IL 60137-6708
(630) 942-2346
(630) 942-3780

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003065
IL

Other

Enumeration date
11/04/2011
Last updated
12/10/2014
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