Individual
MAURA CHRISTINE KEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1402 S 1ST ST, CHAMPAIGN, IL 61820-6916
(708) 691-7335
Mailing address
9400 S RIDGEWAY AVE, EVERGREEN PARK, IL 60805-2011
(708) 691-7335
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/15/2018
Last updated
03/06/2024
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