Individual
MS. KERRY JOANN CREIGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6308 N NORMANDY AVE, CHICAGO, IL 60631-2028
(773) 329-1616
Mailing address
6308 N NORMANDY AVE, CHICAGO, IL 60631-2028
(773) 329-1616
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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