Individual
MRS. JANE ELIZABETH SANDOVAL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1277 CHURCHILL LN, GRAYSLAKE, IL 60030-3763
(847) 223-8460
Mailing address
1277 CHURCHILL LN, GRAYSLAKE, IL 60030-3763
(847) 223-8460
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
03/20/2006
Last updated
07/08/2007
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