Individual
JEFF JAHNEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 E MARSHALL ST, TOLONO, IL 61880-9546
(217) 244-8030
Mailing address
309 E MARSHALL ST, TOLONO, IL 61880-9546
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096002035
IL
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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