Stephanie Marie Luebbe
Specialist/Technologist, Athletic Trainer in Hawthorn Woods, IL. Individual provider (NPI-1).
NPI number1982118576
StatusActive
Last updated in NPPESNov 19, 2017
Details
- NPI
- 1982118576
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Marie Luebbe
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 19, 2017
- Last updated
- Nov 19, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
30 Seneca Ave WHawthorn Woods, IL 60047
Phone 847-707-9517
Mailing address
30 Seneca Ave WHawthorn Woods, IL 60047-1919
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