Individual
JENNIFER LUDWIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
1611 DEMPSTER ST, EVANSTON, IL 60201-4086
(847) 708-3649
Mailing address
1611 DEMPSTER ST, EVANSTON, IL 60201-4086
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003650
IL
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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