Jenna Moore
NPI #1285996579 in Buffalo Grove, Illinois
Provider Information
- NPI Number
- 1285996579
- Entity Type
- Individual
- Name
- Jenna Moore
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Jun 12, 2012
- Last Updated
- Jun 12, 2012
Practice Location
- Address
- 1450 BUSCH PKWY
- Address 2
- SUITE 115A
- City
- Buffalo Grove
- State
- Illinois
- ZIP Code
- 60089-4541
- Phone
- (224) 676-7920
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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