Individual provider · NPI-1

Jennifer Luchene

Specialist/Technologist, Athletic Trainer · Palos Heights, IL

NPI number1588059547
StatusActive
Last updated in NPPESApr 6, 2015

Details

NPI
1588059547
Entity type
Individual (NPI-1)
Name
Jennifer Luchene
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 6, 2015
Last updated
Apr 6, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer096.002560ILYes

Practice location

6601 W College Dr
Palos Heights, IL 60463-1768

Phone 708-239-4774

Mailing address

6601 W College Dr
Palos Heights, IL 60463-1768

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