Individual
GWYNETH LUCILLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
811 SOLAR LN, GLENVIEW, IL 60025-4464
(847) 287-3085
Mailing address
811 SOLAR LN, GLENVIEW, IL 60025-4464
(847) 287-3085
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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