| NPI | 1023557956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHIRIDHAR BURRA President 630-579-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 096004294) |
| Enumeration Date | 2017-02-12 |
| Last Update Date | 2017-02-12 |