Individual
BROOKE ELIZABETH DEERINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 W LINCOLN HWY, DEKALB, IL 60115-2825
(815) 557-1218
Mailing address
416 HOLDEN AVE, ROMEOVILLE, IL 60446-1504
(815) 557-1218
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/25/2020
Last updated
09/28/2020
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