Individual
RACHAEL JOSEPHINE HEWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
302 E EMERSON ST, BLOOMINGTON, IL 61701-1768
(847) 868-6962
Mailing address
3519 EASTWAY DR, ISLAND LAKE, IL 60042-9450
(847) 868-6962
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004755
IL
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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