Individual
ELIZABETH CARR MCKENDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2505 W 110TH ST, CHICAGO, IL 60655-1356
(773) 576-8356
Mailing address
2505 W 110TH ST, CHICAGO, IL 60655-1356
(773) 576-8356
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003698
IL
Other
Enumeration date
08/31/2016
Last updated
12/29/2016
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