Individual
TAMARA CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 KANEVILLE RD, GENEVA, IL 60134-2578
(630) 584-1411
Mailing address
40W515 IL ROUTE 38, ELBURN, IL 60119-9107
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
11/12/2006
Last updated
07/08/2007
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