Individual
JESSICA DUNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/L
Contact information
Practice address
901 MEADOWCREST RD, LA GRANGE PARK, IL 60526-1530
(708) 707-8594
Mailing address
901 MEADOWCREST RD, LA GRANGE PARK, IL 60526-1530
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096002814
IL
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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