Individual
ASHLEY CHANTI WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
6439 S KENWOOD AVE, CHICAGO, IL 60637-3891
(773) 949-1943
Mailing address
6439 S KENWOOD AVE, CHICAGO, IL 60637-3891
(773) 949-1943
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096004956
IL
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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