Individual
MISS STEFANIE PODOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27650 FERRY RD, WARRENVILLE, IL 60555-3845
(630) 315-8764
Mailing address
10308 KIPLING ST, WESTCHESTER, IL 60154-3520
(630) 248-2595
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
08/14/2022
Last updated
06/20/2024
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