JACQUELINE ANN RICHARDSON

CHICAGO, IL
NPI1942269261
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096001951)
Enumeration Date2006-03-23
Last Update Date2007-07-08
Business Address
Mrs. JACQUELINE ANN RICHARDSON ATC
5616 W 63RD ST
CHICAGO, IL 60638-5511
Phone number: 773-526-5239
Mailing Address
Mrs. JACQUELINE ANN RICHARDSON ATC
16908 S LECLAIRE
OAK FOREST, IL 60452
Phone number: 708-560-8634