Individual
JESSICA BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
434 S PARK ST, WESTMONT, IL 60559-2229
(630) 589-7513
Mailing address
434 S PARK ST, WESTMONT, IL 60559-2229
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003208
IL
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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