Individual
VANESSA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
999 KEDZIE AVE, FLOSSMOOR, IL 60422-2248
(708) 799-3000
Mailing address
11330 S AVENUE M, CHICAGO, IL 60617-7056
(773) 470-5669
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096005619
IL
2255A2300X
Athletic Trainer
—
IL
Other
Enumeration date
12/06/2021
Last updated
01/02/2023
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