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Individual

MEGHAN LOCKERBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5530 S ELLIS AVE, CHICAGO, IL 60637-1402
(773) 702-3875
Mailing address
2120 S MICHIGAN AVE, 1806, CHICAGO, IL 60616-1713
(802) 999-3435

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003711
IL

Other

Enumeration date
10/25/2016
Last updated
10/25/2016
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