Individual
MRS. KATHERINE DENISE BAUMGARTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., ATC
Contact information
Practice address
2300 CHILDREN'S PLAZA, CHICAGO, IL 60614-3363
(773) 327-9926
(773) 327-1166
Mailing address
2300 CHILDREN'S PLAZA, CHICAGO, IL 60614-3363
(773) 327-9926
(773) 327-1166
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.001850
IL
Other
Enumeration date
11/18/2010
Last updated
02/09/2011
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