Individual
JORDAN LYNN HAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
2333 CAMPUS DRIVE, EVANSTON, IL 60201
(847) 467-4870
Mailing address
1535 N PAULINA ST APT G, CHICAGO, IL 60622-2499
(859) 609-5507
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005442
OH
Other
Enumeration date
03/30/2020
Last updated
11/15/2021
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