Individual
MS. JULIE ANN GREGG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5510 EAST STATE STREET, ROCKFORD, IL 61108
(815) 395-4505
(815) 395-4507
Mailing address
853 BRECKENBORO RD, DAVIS, IL 61019
(815) 248-4198
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
96001190
IL
Other
Enumeration date
03/16/2006
Last updated
07/08/2007
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