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Individual

MS. ANNETTE DIANE MONK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LAT, ATC

Contact information

Practice address
2065 HALF DAY RD, DEERFIELD, IL 60015-1241
(815) 383-3271
Mailing address
9 W RUSTIC LN, ROUND LAKE BEACH, IL 60073-4059
(815) 383-3271

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096002385
IL
2255A2300X
Athletic Trainer
1798
WI

Other

Enumeration date
01/19/2019
Last updated
01/19/2019
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