Individual
JORDAN LYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7400 AUGUSTA ST, RIVER FOREST, IL 60305-1402
(708) 209-3620
Mailing address
1630 W WOODS DR APT 1411, ARLINGTON HEIGHTS, IL 60004-8019
(217) 891-4372
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004991
IL
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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