IndividualActive
Gillian Gawenda
NPI 1164296208 · Student in an Organized Health Care Education/Training Program · Rantoul, IL
Provider details
- NPI number
- 1164296208
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
345 Highland Dr
Rantoul, IL 61866-2220
Phone: (217) 766-5813
Approximate (ZIP-level) locationGet directions
Mailing address
345 Highland Dr
Rantoul, IL 61866-2220
Registry dates
- Enumerated
- 2023-11-09
- Last updated
- 2023-11-09
- Certified
- 2023-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.