Individual
JESSICA WOEHRMYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
910 W LAKE ST, 2L, CHICAGO, IL 60607-1710
(269) 506-3044
Mailing address
910 W LAKE ST, 2L, CHICAGO, IL 60607-1710
(269) 506-3044
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003999
IL
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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