Individual
ANDREA L. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
25445 S PHEASANT LN STE H, CHANNAHON, IL 60410-8839
(815) 521-0111
(815) 521-0222
Mailing address
417 W MAZON AVE, DWIGHT, IL 60420-1264
(815) 521-0111
(815) 521-0222
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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