Individual
EVA CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, LAT, ATC
Contact information
Practice address
100 N UNIVERSITY ST, NORMAL, IL 61761-4402
(309) 438-2111
Mailing address
4426 TIMBER RIDGE CT, JOLIET, IL 60431-1707
(815) 768-9768
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
01/23/2019
Last updated
10/13/2020
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