Individual
HEIDI J MCKEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
600 LINCOLN AVE, EASTERN ILLINOIS UNIVERSITY ATHLETIC TRAINING, CHARLESTON, IL 61920-3011
(217) 581-3811
(217) 581-8300
Mailing address
600 LINCOLN AVE, EASTERN ILLINOIS UNIVERSITY ATHLETIC TRAINING, CHARLESTON, IL 61920-3011
(217) 581-3811
(217) 581-8300
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003435
IL
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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