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Individual

ASHLEY WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2401 RAVINE WAY STE 200, GLENVIEW, IL 60025-7645
(847) 998-5680
(847) 998-6365
Mailing address
900 RAND RD STE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096.003356
IL
363A00000X
Physician Assistant
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/09/2014
Last updated
05/25/2021
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