Individual
JACKIE M. GILLESPIE-STOKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
900 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2373
(847) 618-3550
Mailing address
2037 WAVERLY LN, ALGONQUIN, IL 60102-5181
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
96000478
IL
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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