NPI 1023834397

Emily Dierking, LATATC

Practitioner Athletic Trainer Glen Ellyn, IL

Practice location

Address: 425 Fawell Blvd, Glen Ellyn, IL 60137-6708
Phone: (630) 942-2545
Mailing address: 1524 Lark Ln, Naperville, IL 60565-1304

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Illinois →

Registry record

NPI: 1023834397
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Dec 2024
Record last updated: 2 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.