Individual
JAMIE LYNNE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
501 S WABASH, CHICAGO, IL 60605
(312) 341-2100
Mailing address
501 S WABASH, CHICAGO, IL 60605
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.005339
IL
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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