SearchIllinois390200000X

Jensen Plata, BS, ATC

NPI 1699278341 · on the registry since 2018

Practice

Address
14265 W Shelley Ln
Wadsworth, IL 60083
Phone
(847) 989-2377

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
2255A2300X
2255A2300X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-05-23

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