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Jason Depue, ATC
NPI 1144777251 · on the registry since 2016 · sole proprietor
Practice
- Address
- 5700 S Homan Ave
Chicago, IL 60629 - Phone
- (773) 443-4138
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-09-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois