Individual
KATHERINE DEGAETANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3700 W 103RD ST, CHICAGO, IL 60655-3105
(773) 298-3128
Mailing address
3700 W 103RD ST, CHICAGO, IL 60655-3105
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096001324
IL
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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