Individual
ISABEL JULIANN THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
110 APPLETREE CT APT B, YORKVILLE, IL 60560-2133
(630) 862-4808
Mailing address
110 APPLETREE CT APT B, YORKVILLE, IL 60560-2133
(630) 862-4808
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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